Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,862.09 / $5,011.87	Facility		$812.83	$1,862.09	$5,011.87
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $331.13	Professional		$190.55	$239.88	$331.13
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