Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $1,563.00	Facility		$1,563.00	$1,563.00	$1,563.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,563.00 / $1,563.00 / $1,563.00	Professional		$1,563.00	$1,563.00	$1,563.00
Hometown Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $200.00 / $493.00	Professional		$100.00	$200.00	$493.00