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 $839.90 / $938.68 / $4,788.87	Professional		$839.90	$938.68	$4,788.87
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 $1,027.43 / $1,089.07 / $1,507.53	Professional		$1,027.43	$1,089.07	$1,507.53
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $1,016.11 / $6,270.63	Professional		$14.32	$1,016.11	$6,270.63
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 $10.74 / $893.60 / $8,550.86	Professional		$10.74	$893.60	$8,550.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,305.00 / $3,601.30 / $11,445.00	Facility		$2,305.00	$3,601.30	$11,445.00
United Facility/Professional Professional Modifier Low / Median / High Price $810.16 / $1,055.22 / $1,634.00	Professional		$810.16	$1,055.22	$1,634.00