Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.50 / $1,639.00 / $4,396.00	Facility		$778.50	$1,639.00	$4,396.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $171.50 / $250.11	Professional		$3.28	$171.50	$250.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,642.00 / $3,060.00 / $9,042.00	Facility		$1,642.00	$3,060.00	$9,042.00