Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.50 / $1,639.00 / $4,396.00	Facility		$732.50	$1,639.00	$4,396.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.53 / $36.26 / $66.78	Facility	52	$34.53	$36.26	$66.78
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 $2.33 / $103.37 / $218.14	Professional		$2.33	$103.37	$218.14
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