Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.01 / $7,340.00 / $13,413.92	Facility		$2,187.01	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,640.26 / $1,640.26 / $1,640.26	Facility	54	$1,640.26	$1,640.26	$1,640.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $717.23 / $3,709.25 / $5,192.95	Facility		$717.23	$3,709.25	$5,192.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $717.23 / $3,709.25 / $5,192.95	Facility		$717.23	$3,709.25	$5,192.95