Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,223.95 / $11,709.00 / $22,888.00	Facility		$4,223.95	$11,709.00	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,111.98 / $2,111.98 / $2,111.98	Facility	52	$2,111.98	$2,111.98	$2,111.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $7,163.96 / $10,029.54	Facility		$1,382.85	$7,163.96	$10,029.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,382.85 / $7,163.96 / $10,029.54	Facility		$1,382.85	$7,163.96	$10,029.54