Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.41 / $4,806.00 / $13,413.92	Facility		$286.41	$4,806.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $596.40 / $596.40 / $596.40	Facility	52	$596.40	$596.40	$596.40
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $894.59 / $894.59 / $894.59	Facility	54	$894.59	$894.59	$894.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $402.41 / $2,023.02 / $2,832.23	Facility		$402.41	$2,023.02	$2,832.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $402.41 / $2,023.02 / $2,832.23	Facility		$402.41	$2,023.02	$2,832.23