Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.13 / $5,084.91 / $13,413.92	Facility		$349.13	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $200.93 / $200.93 / $261.83	Facility	54	$200.93	$200.93	$261.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.66 / $454.37 / $829.00	Facility		$89.66	$454.37	$829.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.65 / $499.81 / $829.00	Facility		$113.65	$499.81	$829.00