Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.08 / $4,473.04 / $11,709.00	Facility		$1,163.08	$4,473.04	$11,709.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $872.31 / $872.31 / $872.31	Facility	54	$872.31	$872.31	$872.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.29 / $1,972.61 / $2,761.65	Facility		$390.29	$1,972.61	$2,761.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.69 / $1,972.61 / $2,761.65	Facility		$391.69	$1,972.61	$2,761.65