Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $95.43 / $200.55	Professional		$78.20	$95.43	$200.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.14 / $118.51 / $196.08	Professional		$87.14	$118.51	$196.08
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $493.00	Professional		$200.00	$200.00	$493.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $108.77 / $163.15	Professional		$79.44	$108.77	$163.15