Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.36 / $115.36 / $115.36	Facility		$115.36	$115.36	$115.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $100.79 / $115.36	Professional		$100.79	$100.79	$115.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.91 / $14.80 / $33.60	Facility		$10.91	$14.80	$33.60
United Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $101.19 / $101.19	Professional		$101.19	$101.19	$101.19