Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $203.44 / $1,706.00 / $4,473.00	Facility		$203.44	$1,706.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $93.53 / $284.77	Professional		$49.86	$93.53	$284.77
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