Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,089.30 / $5,011.87	Facility		$758.58	$2,089.30	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $676.08	Professional		$102.33	$123.03	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $4,073.80 / $5,888.44	Facility		$3,388.44	$4,073.80	$5,888.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $173.78 / $309.03	Professional		$117.49	$173.78	$309.03
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $165.96 / $1,479.11	Professional		$2.09	$165.96	$1,479.11
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $1,348.96	Professional		$151.36	$151.36	$1,348.96
Select Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,290.87 / $6,456.54	Facility		$724.44	$2,290.87	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $218.78	Professional		$95.50	$162.18	$218.78