Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.38 / $4,396.00 / $10,300.00	Facility		$272.38	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.38 / $272.38 / $389.46	Professional		$272.38	$272.38	$389.46
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 $182.68 / $290.72 / $439.91	Professional		$182.68	$290.72	$439.91
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 $265.27 / $341.55 / $483.27	Professional		$265.27	$341.55	$483.27