Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.62 / $6,479.00 / $13,413.92	Facility		$794.62	$6,479.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $342.71 / $342.71 / $342.71	Facility	52	$342.71	$342.71	$342.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $1,253.08 / $1,754.33	Facility		$228.32	$1,253.08	$1,754.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.32 / $1,253.08 / $1,754.33	Facility		$228.32	$1,253.08	$1,754.33