Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,839.43 / $5,328.00 / $11,709.00	Facility		$1,839.43	$5,328.00	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $837.66 / $837.66 / $837.66	Facility	52	$837.66	$837.66	$837.66
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,256.48 / $1,256.48 / $1,256.48	Facility	54	$1,256.48	$1,256.48	$1,256.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $2,841.37 / $3,977.92	Facility		$554.10	$2,841.37	$3,977.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $554.10 / $2,841.37 / $3,977.92	Facility		$554.10	$2,841.37	$3,977.92