Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $685.15 / $753.08 / $1,328.37	Professional		$685.15	$753.08	$1,328.37
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 $142.33 / $235.59 / $363.88	Professional		$142.33	$235.59	$363.88
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.63 / $208.32 / $391.26	Professional		$1.63	$208.32	$391.26
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $2,263.96 / $2,263.96 / $2,263.96	Facility		$2,263.96	$2,263.96	$2,263.96
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $123.39 / $231.75	Professional		$123.39	$123.39	$231.75
United Facility/Professional Professional Modifier Low / Median / High Price $230.28 / $299.85 / $432.49	Professional		$230.28	$299.85	$432.49