Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.55 / $3,959.00 / $10,300.00	Facility		$259.55	$3,959.00	$10,300.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.78 / $129.78 / $129.78	Facility	52	$129.78	$129.78	$129.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,671.00 / $5,123.00 / $8,352.37	Facility		$3,671.00	$5,123.00	$8,352.37
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $252.61 / $368.39	Professional		$5.20	$252.61	$368.39
United Facility/Professional Facility Modifier Low / Median / High Price $776.00 / $2,578.00 / $6,471.00	Facility		$776.00	$2,578.00	$6,471.00