Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,626.38 / $10,175.36 / $13,413.92	Facility		$2,626.38	$10,175.36	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,542.41 / $1,542.41 / $1,542.41	Facility	50	$1,542.41	$1,542.41	$1,542.41
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $617.32 / $617.32 / $617.32	Professional	50	$617.32	$617.32	$617.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $1,890.95 / $2,704.06	Facility		$476.90	$1,890.95	$2,704.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $476.90 / $1,890.95 / $2,704.06	Facility		$476.90	$1,890.95	$2,704.06