Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $7,762.47	Facility		$407.38	$416.87	$7,762.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $446.68 / $758.58	Facility		$302.00	$446.68	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $1,096.48 / $1,412.54	Facility		$229.09	$1,096.48	$1,412.54