Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,862.09 / $5,011.87	Facility		$758.58	$1,862.09	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $891.25 / $1,318.26	Professional		$114.82	$891.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26