Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.31 / $2,173.00 / $4,841.00	Facility		$226.31	$2,173.00	$4,841.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $76.41 / $350.00	Professional		$40.72	$76.41	$350.00
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