Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.00 / $2,556.00 / $5,923.00	Facility		$1,375.00	$2,556.00	$5,923.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.11 / $636.05 / $3,236.70	Professional		$571.11	$636.05	$3,236.70
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 $691.26 / $743.90 / $1,022.86	Professional		$691.26	$743.90	$1,022.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $722.51 / $4,244.76	Professional		$12.96	$722.51	$4,244.76
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $7,895.11 / $7,895.11 / $7,895.11	Facility		$7,895.11	$7,895.11	$7,895.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $608.10 / $5,788.31	Professional		$9.72	$608.10	$5,788.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,000.00 / $9,042.00	Facility		$1,642.00	$3,000.00	$9,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $551.48 / $728.35 / $1,120.79	Professional		$551.48	$728.35	$1,120.79