Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.83 / $4,396.00 / $10,300.00	Facility		$387.83	$4,396.00	$10,300.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.67 / $374.66 / $520.82	Professional		$4.67	$374.66	$520.82
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