Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.43 / $4,396.00 / $10,300.00	Facility		$347.43	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.43 / $347.43 / $497.34	Professional		$347.43	$347.43	$497.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $4,589.00 / $6,006.00	Facility		$3,671.00	$4,589.00	$6,006.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $330.48 / $389.84 / $561.04	Professional		$330.48	$389.84	$561.04
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $425.00	Professional		$200.00	$350.00	$425.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00
United Facility/Professional Professional Modifier Low / Median / High Price $338.69 / $442.84 / $609.85	Professional		$338.69	$442.84	$609.85