Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,862.09 / $5,011.87	Facility		$724.44	$1,862.09	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $676.08 / $1,258.93	Professional		$4.27	$676.08	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74