Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,862.09 / $5,011.87	Facility		$138.04	$1,862.09	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $165.96 / $234.42	Professional		$2.24	$165.96	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26