Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.42 / $1,496.00 / $4,396.00	Facility		$289.42	$1,496.00	$4,396.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $113.92 / $173.72	Professional		$2.24	$113.92	$173.72
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