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 $65.00 / $65.00 / $65.00	Professional		$65.00	$65.00	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,093.00 / $8,455.00 / $14,510.00	Facility		$6,093.00	$8,455.00	$14,510.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,616.68 / $1,986.68 / $2,878.02	Professional		$1,616.68	$1,986.68	$2,878.02
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $10,904.96 / $15,633.76	Professional		$200.00	$10,904.96	$15,633.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $14,220.15 / $14,220.15 / $14,220.15	Facility		$14,220.15	$14,220.15	$14,220.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,945.00 / $5,915.00 / $11,845.00	Facility		$2,945.00	$5,915.00	$11,845.00