Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,354.55 / $6,541.00 / $13,413.92	Facility		$2,354.55	$6,541.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $832.97 / $832.97 / $832.97	Facility	54	$832.97	$832.97	$832.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $364.96 / $1,883.64 / $2,637.10	Facility		$364.96	$1,883.64	$2,637.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.72 / $1,883.64 / $2,637.10	Facility		$373.72	$1,883.64	$2,637.10