Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,698.24 / $5,011.87	Facility		$758.58	$1,698.24	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $776.25 / $1,258.93	Professional		$3.39	$776.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $1,288.25 / $2,041.74	Facility		$199.53	$1,288.25	$2,041.74