Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,548.82 / $8,709.64	Facility		$758.58	$1,548.82	$8,709.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $776.25 / $1,348.96	Facility		$575.44	$776.25	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $21,379.62 / $57,543.99	Facility		$1,659.59	$21,379.62	$57,543.99