Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,240.40 / $9,577.00 / $13,413.92	Facility		$1,240.40	$9,577.00	$13,413.92
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $666.02 / $666.02 / $987.14	Facility	54	$666.02	$666.02	$987.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.48 / $2,321.58 / $3,368.74	Facility		$1,623.48	$2,321.58	$3,368.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,623.48 / $2,321.58 / $3,368.74	Facility		$1,623.48	$2,321.58	$3,368.74