Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.75 / $2,173.00 / $4,841.00	Facility		$1,502.75	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,502.75 / $1,502.75 / $2,260.54	Professional		$1,502.75	$1,502.75	$2,260.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $857.38 / $1,969.22 / $7,471.17	Professional		$857.38	$1,969.22	$7,471.17
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $425.00 / $12,511.68	Professional		$200.00	$425.00	$12,511.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $11,374.25 / $11,374.25 / $11,374.25	Facility		$11,374.25	$11,374.25	$11,374.25
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 $1,481.40 / $1,883.85 / $2,606.87	Professional		$1,481.40	$1,883.85	$2,606.87