Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $4,466.84 / $10,232.93	Facility		$89.13	$4,466.84	$10,232.93
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.42 / $79.43 / $112.20	Professional		$0.42	$79.43	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,047.13 / $1,995.26	Facility		$199.53	$1,047.13	$1,995.26