Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.00 / $874.00 / $874.00	Professional		$874.00	$874.00	$874.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $3,649.50 / $3,649.50 / $3,649.50	Professional		$3,649.50	$3,649.50	$3,649.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,226.23 / $2,919.60	Professional		$1,226.23	$1,226.23	$2,919.60