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 $76.88 / $98.32 / $140.79	Professional		$76.88	$98.32	$140.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,433.00 / $4,098.00	Facility		$1,529.00	$3,433.00	$4,098.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.02 / $53.85 / $124.28	Professional		$39.02	$53.85	$124.28
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 $252.00 / $1,427.00 / $1,998.00	Facility		$252.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.52 / $118.71 / $164.59	Professional		$83.52	$118.71	$164.59