Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,015.05 / $6,541.00 / $13,413.92	Facility		$1,015.05	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $406.57 / $406.57 / $406.57	Facility	54	$406.57	$406.57	$406.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.59 / $919.44 / $1,287.22	Facility		$170.59	$919.44	$1,287.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.59 / $919.44 / $1,287.22	Facility		$170.59	$919.44	$1,287.22