Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $167.72	Facility		$167.72	$167.72	$167.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $146.54 / $167.72	Professional		$146.54	$146.54	$167.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.26 / $126.05 / $180.45	Facility		$116.26	$126.05	$180.45
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $136.80 / $136.80	Professional		$136.80	$136.80	$136.80