Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,706.00 / $3,605.00 / $10,300.00	Professional		$1,706.00	$3,605.00	$10,300.00
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 $61.05 / $104.95 / $158.81	Professional		$61.05	$104.95	$158.81
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $2,229.21 / $3,195.90	Professional		$200.00	$2,229.21	$3,195.90
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $4,046.03 / $4,046.03 / $4,046.03	Facility		$4,046.03	$4,046.03	$4,046.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00