Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $911.00 / $1,706.00 / $4,473.00	Facility		$911.00	$1,706.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $173.79 / $362.14 / $2,302.73	Professional		$173.79	$362.14	$2,302.73
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