Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $887.78 / $6,825.52 / $13,413.92	Facility		$887.78	$6,825.52	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $288.58 / $288.58 / $288.58	Facility	52	$288.58	$288.58	$288.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.83 / $1,055.19 / $1,477.27	Facility		$192.83	$1,055.19	$1,477.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.83 / $1,055.19 / $1,477.27	Facility		$192.83	$1,055.19	$1,477.27