Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,496.00 / $1,713.00 / $4,473.00	Facility		$1,496.00	$1,713.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $824.00 / $1,849.00 / $3,048.00	Professional		$824.00	$1,849.00	$3,048.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,173.00 / $12,719.00 / $15,372.00	Facility		$9,173.00	$12,719.00	$15,372.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.30 / $237.30 / $237.30	Professional		$237.30	$237.30	$237.30
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $350.00 / $425.00	Professional		$200.00	$350.00	$425.00
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $1,007.60 / $1,007.60 / $1,007.60	Facility		$1,007.60	$1,007.60	$1,007.60
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