Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.42 / $2,095.00 / $7,838.38	Facility		$167.42	$2,095.00	$7,838.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.61 / $238.30 / $980.00	Facility		$166.61	$238.30	$980.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,085.00 / $5,089.00 / $17,636.00	Facility		$3,085.00	$5,089.00	$17,636.00