Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.12 / $2,173.00 / $4,841.00	Facility		$88.12	$2,173.00	$4,841.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.82 / $85.54 / $144.41	Professional		$0.82	$85.54	$144.41
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $1,427.00 / $1,975.00	Facility		$200.00	$1,427.00	$1,975.00