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 $63.45 / $81.41 / $116.60	Professional		$63.45	$81.41	$116.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.24 / $154.27 / $391.71	Professional		$97.24	$154.27	$391.71
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 $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.64 / $103.24 / $149.81	Professional		$72.64	$103.24	$149.81