Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,648.57 / $13,413.92 / $22,888.00	Facility		$6,648.57	$13,413.92	$22,888.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,525.58 / $2,525.58 / $2,525.58	Facility	52	$2,525.58	$2,525.58	$2,525.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,652.87 / $8,566.94 / $11,993.72	Facility		$1,652.87	$8,566.94	$11,993.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,652.87 / $8,566.94 / $11,993.72	Facility		$1,652.87	$8,566.94	$11,993.72