Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.47 / $1,639.00 / $4,396.00	Facility		$347.47	$1,639.00	$4,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $182.88 / $300.39	Professional		$116.43	$182.88	$300.39
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 $9.91 / $239.39 / $239.39	Professional		$9.91	$239.39	$239.39
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 Professional Modifier Low / Median / High Price $164.17 / $208.63 / $442.91	Professional		$164.17	$208.63	$442.91