Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.85 / $10,900.00 / $14,552.94	Facility		$619.85	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $309.92 / $309.92 / $309.92	Facility	52	$309.92	$309.92	$309.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $1,010.33 / $1,444.77	Facility		$260.50	$1,010.33	$1,444.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.50 / $1,010.33 / $1,444.77	Facility		$260.50	$1,010.33	$1,444.77