Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.59 / $1,706.00 / $4,473.00	Facility		$619.59	$1,706.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $117.05 / $219.56 / $784.69	Professional		$117.05	$219.56	$784.69
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