Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.75 / $1,639.00 / $4,396.00	Facility		$398.75	$1,639.00	$4,396.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.00 / $333.00 / $333.00	Facility		$333.00	$333.00	$333.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $68.65 / $116.71 / $190.26	Professional		$68.65	$116.71	$190.26
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