Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.24 / $481.24 / $590.79	Facility		$481.24	$481.24	$590.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.63 / $472.63 / $481.24	Professional		$472.63	$472.63	$481.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $472.63 / $472.63 / $481.24	Facility		$472.63	$472.63	$481.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $402.58 / $402.58 / $402.58	Professional		$402.58	$402.58	$402.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,072.71 / $1,072.71 / $1,072.71	Facility		$1,072.71	$1,072.71	$1,072.71
United Facility/Professional Professional Modifier Low / Median / High Price $420.50 / $468.98 / $1,024.65	Professional		$420.50	$468.98	$1,024.65