Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,025.10 / $2,025.10 / $5,342.84	Facility	50	$2,025.10	$2,025.10	$5,342.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $224.43 / $867.81 / $1,240.97	Facility		$224.43	$867.81	$1,240.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $224.43 / $867.81 / $1,240.97	Facility		$224.43	$867.81	$1,240.97