Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $93.33 / $123.03	Professional		$69.18	$93.33	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $125.89 / $125.89	Professional		$15.85	$125.89	$125.89
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $223.87	Professional		$128.82	$162.18	$223.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Select Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $131.83	Professional		$120.23	$128.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $128.82	Professional		$125.89	$125.89	$128.82