Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.88 / $4,396.00 / $10,300.00	Facility		$223.88	$4,396.00	$10,300.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.44 / $217.11 / $302.79	Professional		$3.44	$217.11	$302.79
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