Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $917.82 / $4,396.00 / $10,300.00	Facility		$917.82	$4,396.00	$10,300.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $16,907.36	Facility		$3,671.00	$5,123.00	$16,907.36
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $963.39 / $1,889.33	Professional		$12.80	$963.39	$1,889.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.00 / $5,915.00 / $11,845.00	Facility		$2,818.00	$5,915.00	$11,845.00