Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.50 / $1,639.00 / $4,396.00	Facility		$808.50	$1,639.00	$4,396.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.35 / $240.81 / $333.11	Professional		$190.35	$240.81	$333.11
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