Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,548.82 / $8,709.64	Facility		$776.25	$1,548.82	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $758.58 / $1,174.90	Facility		$524.81	$758.58	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $15,135.61 / $31,622.78	Facility		$1,023.29	$15,135.61	$31,622.78