Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.84 / $1,706.00 / $4,473.00	Facility		$557.84	$1,706.00	$4,473.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $195.76 / $274.07	Professional		$3.09	$195.76	$274.07
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