Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,026.51 / $10,900.00 / $22,888.00	Facility		$5,026.51	$10,900.00	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,513.26 / $2,513.26 / $2,513.26	Facility	52	$2,513.26	$2,513.26	$2,513.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,637.23 / $8,525.12 / $11,935.18	Facility		$1,637.23	$8,525.12	$11,935.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,637.23 / $8,525.12 / $11,935.18	Facility		$1,637.23	$8,525.12	$11,935.18