Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $998.23 / $1,189.96 / $4,975.67	Professional		$998.23	$1,189.96	$4,975.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.96 / $1,755.65 / $1,800.73	Facility		$732.96	$1,755.65	$1,800.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $893.51 / $1,265.82 / $1,933.40	Professional		$893.51	$1,265.82	$1,933.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,377.51 / $1,638.01 / $2,574.27	Professional		$1,377.51	$1,638.01	$2,574.27