Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,937.00 / $2,173.00 / $4,841.00	Facility		$1,937.00	$2,173.00	$4,841.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,138.00 / $3,959.00 / $10,300.00	Professional		$2,138.00	$3,959.00	$10,300.00
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 $225.43 / $302.75 / $391.31	Professional		$225.43	$302.75	$391.31
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5,881.51 / $5,881.51 / $5,881.51	Professional		$5,881.51	$5,881.51	$5,881.51
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,346.83 / $11,506.27 / $11,506.27	Facility		$5,346.83	$11,506.27	$11,506.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,468.00 / $11,845.00	Facility		$2,818.00	$5,468.00	$11,845.00