Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.51 / $2,173.00 / $4,841.00	Facility		$630.51	$2,173.00	$4,841.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $94.40 / $177.09 / $832.64	Professional		$94.40	$177.09	$832.64
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