Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.00 / $3,042.00 / $4,730.00	Facility		$1,393.00	$3,042.00	$4,730.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $630.00 / $630.00	Facility		$630.00	$630.00	$630.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $268.06 / $390.92	Professional		$4.80	$268.06	$390.92
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00