Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,502.07 / $11,709.00 / $22,888.00	Facility		$5,502.07	$11,709.00	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,751.04 / $2,751.04 / $2,751.04	Facility	52	$2,751.04	$2,751.04	$2,751.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,794.05 / $9,331.71 / $13,064.41	Facility		$1,794.05	$9,331.71	$13,064.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,794.05 / $9,331.71 / $13,064.41	Facility		$1,794.05	$9,331.71	$13,064.41