Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $295.97 / $295.97 / $295.97	Facility	53	$295.97	$295.97	$295.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $616.47 / $2,842.38 / $4,064.60	Facility		$616.47	$2,842.38	$4,064.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.47 / $2,842.38 / $4,064.60	Facility		$616.47	$2,842.38	$4,064.60