Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,522.96 / $2,522.96 / $21,273.60	Professional		$2,522.96	$2,522.96	$21,273.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,526.00 / $9,098.00 / $15,073.00	Facility		$7,526.00	$9,098.00	$15,073.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $580.73 / $3,215.43 / $6,401.40	Professional		$580.73	$3,215.43	$6,401.40
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $4,669.03 / $5,492.98 / $6,103.32	Professional	50	$4,669.03	$5,492.98	$6,103.32
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $16.92 / $793.92 / $5,027.32	Professional		$16.92	$793.92	$5,027.32
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $12,533.37 / $12,533.37 / $12,533.37	Facility		$12,533.37	$12,533.37	$12,533.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $453.67 / $2,789.73	Professional		$8.69	$453.67	$2,789.73
United Facility/Professional Professional Modifier Low / Median / High Price $3,160.00 / $5,149.95 / $7,367.62	Professional		$3,160.00	$5,149.95	$7,367.62