Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,621.81 / $7,762.47	Facility		$1,548.82	$1,621.81	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,570.40	Facility		$1,047.13	$1,513.56	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,128.61 / $19,498.45	Facility		$3,090.30	$5,128.61	$19,498.45