Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.08 / $75.08 / $75.95	Facility		$75.08	$75.08	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $75.95 / $428.00	Professional		$75.08	$75.95	$428.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,214.00 / $3,931.00 / $5,258.00	Facility		$3,214.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $99.87 / $143.74	Professional		$82.56	$99.87	$143.74
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.06 / $93.77 / $1,115.68	Professional		$1.06	$93.77	$1,115.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $892.54 / $1,811.70 / $1,811.70	Facility		$892.54	$1,811.70	$1,811.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.72 / $78.42 / $1,338.81	Professional		$0.72	$78.42	$1,338.81
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,244.00	Facility		$721.00	$2,200.00	$6,244.00
United Facility/Professional Professional Modifier Low / Median / High Price $73.36 / $98.40 / $148.22	Professional		$73.36	$98.40	$148.22