Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $6,825.52 / $13,413.92	Facility		$275.38	$6,825.52	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $856.95 / $856.95 / $926.12	Facility	54	$856.95	$856.95	$926.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $405.98 / $1,937.90 / $2,932.06	Facility		$405.98	$1,937.90	$2,932.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $405.98 / $1,937.90 / $2,932.06	Facility		$405.98	$1,937.90	$2,932.06