Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $208.58 / $208.58 / $208.58	Facility	52	$208.58	$208.58	$208.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $762.63 / $1,067.68	Facility		$140.21	$762.63	$1,067.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.21 / $762.63 / $1,067.68	Facility		$140.21	$762.63	$1,067.68