Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,779.00 / $3,647.00 / $4,098.00	Facility		$2,779.00	$3,647.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $74.15 / $115.31	Professional		$66.95	$74.15	$115.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $110.00 / $350.00	Professional		$100.00	$110.00	$350.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $172.92 / $172.92 / $172.92	Facility		$172.92	$172.92	$172.92
United Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $89.02 / $140.77	Professional		$66.23	$89.02	$140.77