Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $766.22 / $6,825.52 / $13,413.92	Facility		$766.22	$6,825.52	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $220.22 / $220.22 / $383.11	Facility	52	$220.22	$220.22	$383.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $1,005.09 / $1,748.47	Facility		$186.01	$1,005.09	$1,748.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.01 / $1,005.09 / $1,748.47	Facility		$186.01	$1,005.09	$1,748.47