Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,390.45 / $11,709.00 / $22,888.00	Facility		$4,390.45	$11,709.00	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,195.23 / $2,195.23 / $2,195.23	Facility	52	$2,195.23	$2,195.23	$2,195.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,436.47 / $7,446.36 / $10,424.90	Facility		$1,436.47	$7,446.36	$10,424.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,436.47 / $7,446.36 / $10,424.90	Facility		$1,436.47	$7,446.36	$10,424.90