Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,172.39 / $8,303.41 / $13,413.92	Facility		$2,172.39	$8,303.41	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,629.29 / $1,629.29 / $1,629.29	Facility	54	$1,629.29	$1,629.29	$1,629.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $708.96 / $3,684.44 / $5,158.22	Facility		$708.96	$3,684.44	$5,158.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $708.96 / $3,684.44 / $5,158.22	Facility		$708.96	$3,684.44	$5,158.22