Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.51 / $988.51 / $988.51	Professional		$988.51	$988.51	$988.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $372.13 / $544.75 / $751.07	Facility		$372.13	$544.75	$751.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.06 / $314.16 / $424.09	Professional		$190.06	$314.16	$424.09
United Facility/Professional Professional Modifier Low / Median / High Price $174.67 / $257.74 / $309.75	Professional		$174.67	$257.74	$309.75