Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,475.73 / $1,475.73 / $1,475.73	Facility	54	$1,475.73	$1,475.73	$1,475.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.20 / $3,337.17 / $4,672.04	Facility		$648.20	$3,337.17	$4,672.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.20 / $3,337.17 / $4,672.04	Facility		$648.20	$3,337.17	$4,672.04