Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $1,706.00 / $4,473.00	Facility		$154.06	$1,706.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $51.80 / $207.05	Professional		$27.61	$51.80	$207.05
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