Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.44 / $4,396.00 / $10,300.00	Facility		$263.44	$4,396.00	$10,300.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $4.16 / $306.79 / $447.41	Professional		$4.16	$306.79	$447.41
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