Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $2,173.00 / $4,841.00	Facility		$71.09	$2,173.00	$4,841.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.57 / $67.39 / $116.04	Professional		$0.57	$67.39	$116.04
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,277.00 / $1,975.00	Facility		$200.00	$1,277.00	$1,975.00