Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.40 / $3,959.00 / $10,300.00	Facility		$89.40	$3,959.00	$10,300.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $0.48 / $87.37 / $127.44	Professional		$0.48	$87.37	$127.44
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