Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $14,791.08	Facility		$1,148.15	$5,370.32	$14,791.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $3,311.31	Facility		$1,230.27	$1,698.24	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $30,902.95 / $79,432.82	Facility		$3,388.44	$30,902.95	$79,432.82