Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $1,639.00 / $4,473.00	Facility		$127.09	$1,639.00	$4,473.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.89 / $127.09 / $255.85	Professional		$45.89	$127.09	$255.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.17 / $268.88 / $2,164.19	Professional		$97.17	$268.88	$2,164.19
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $2.40	Professional		$1.50	$1.50	$2.40
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $1.50 / $1.50	Professional		$1.50	$1.50	$1.50
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,998.00	Facility		$200.00	$1,427.00	$1,998.00