Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.95 / $122.95 / $122.95	Facility		$122.95	$122.95	$122.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $107.42 / $122.95	Professional		$107.42	$107.42	$122.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.04 / $110.34 / $138.99	Facility		$109.04	$110.34	$138.99
United Facility/Professional Professional Modifier Low / Median / High Price $129.41 / $129.41 / $129.41	Professional		$129.41	$129.41	$129.41