Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.75 / $1,639.00 / $4,473.00	Facility		$409.75	$1,639.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $765.86 / $1,093.19	Professional		$7.20	$765.86	$1,093.19
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