Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,713.00 / $4,473.00	Facility		$911.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $123.84 / $647.29	Professional		$108.71	$123.84	$647.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,072.00 / $3,931.00 / $5,258.00	Facility		$3,072.00	$3,931.00	$5,258.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.95 / $175.02 / $212.40	Professional		$102.95	$175.02	$212.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $90.71 / $168.32 / $1,115.68	Professional		$90.71	$168.32	$1,115.68
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,811.70 / $1,811.70 / $1,811.70	Facility		$1,811.70	$1,811.70	$1,811.70
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $118.93 / $1,338.81	Professional		$1.80	$118.93	$1,338.81
United Facility/Professional Facility Modifier Low / Median / High Price $721.00 / $2,200.00 / $6,317.00	Facility		$721.00	$2,200.00	$6,317.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $146.58 / $231.29	Professional		$113.55	$146.58	$231.29