Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,042.00 / $6,953.00	Facility		$1,642.00	$3,042.00	$6,953.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $248.41 / $293.27	Professional		$143.16	$248.41	$293.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.73 / $272.14 / $327.00	Professional		$217.73	$272.14	$327.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3,534.26 / $4,190.89 / $4,241.10	Professional		$3,534.26	$4,190.89	$4,241.10
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,445.97 / $4,445.97 / $4,445.97	Facility		$4,445.97	$4,445.97	$4,445.97
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,794.00 / $10,407.00	Facility		$2,042.00	$4,794.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.27 / $266.20 / $429.04	Professional		$235.27	$266.20	$429.04