Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $4,396.00 / $10,300.00	Facility		$805.20	$4,396.00	$10,300.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.74 / $126.71 / $202.86	Professional		$59.74	$126.71	$202.86
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $2.00	Professional		$1.25	$1.25	$2.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $1.25 / $1.25 / $1.25	Professional		$1.25	$1.25	$1.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,061.00 / $2,606.00 / $6,471.00	Facility		$1,061.00	$2,606.00	$6,471.00