Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.78 / $2,845.87 / $9,577.00	Facility		$696.78	$2,845.87	$9,577.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,006.77 / $1,006.77 / $1,114.66	Facility	54	$1,006.77	$1,006.77	$1,114.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $486.74 / $2,276.69 / $3,528.94	Facility		$486.74	$2,276.69	$3,528.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $486.74 / $2,276.69 / $3,528.94	Facility		$486.74	$2,276.69	$3,528.94