Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.77 / $8,617.79 / $16,269.62	Facility		$1,689.77	$8,617.79	$16,269.62
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $369.72 / $4,289.96 / $4,289.96	Facility	52	$369.72	$4,289.96	$4,289.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $252.06 / $1,351.82 / $1,892.55	Facility		$252.06	$1,351.82	$1,892.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $252.06 / $1,351.82 / $1,892.55	Facility		$252.06	$1,351.82	$1,892.55