Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,652.47 / $10,625.00 / $22,888.00	Facility		$4,652.47	$10,625.00	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,326.23 / $2,326.23 / $2,326.23	Facility	52	$2,326.23	$2,326.23	$2,326.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,516.60 / $7,890.76 / $11,047.06	Facility		$1,516.60	$7,890.76	$11,047.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,516.60 / $7,890.76 / $11,047.06	Facility		$1,516.60	$7,890.76	$11,047.06