Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.00 / $3,509.00 / $7,674.00	Facility		$1,862.00	$3,509.00	$7,674.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,128.01 / $1,460.93 / $3,959.00	Professional		$1,128.01	$1,460.93	$3,959.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,877.00 / $5,379.00 / $8,190.00	Facility		$3,877.00	$5,379.00	$8,190.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,160.60 / $1,218.86 / $1,709.93	Professional		$1,160.60	$1,218.86	$1,709.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $1,525.08 / $4,826.47	Professional		$13.20	$1,525.08	$4,826.47
Hometown Health Facility/Professional Facility Modifier Low / Median / High Price $5,702.41 / $5,702.41 / $5,702.41	Facility		$5,702.41	$5,702.41	$5,702.41
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $1,265.34 / $6,503.66	Professional		$6.60	$1,265.34	$6,503.66
United Facility/Professional Facility Modifier Low / Median / High Price $2,042.00 / $4,145.00 / $10,407.00	Facility		$2,042.00	$4,145.00	$10,407.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.68 / $1,374.56 / $2,986.79	Professional		$883.68	$1,374.56	$2,986.79