Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,884.46 / $14,552.94	Facility		$1,872.00	$6,884.46	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $293.64 / $293.64 / $293.64	Facility	52	$293.64	$293.64	$293.64
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $117.46 / $117.46 / $117.46	Facility	53	$117.46	$117.46	$117.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $1,073.67 / $1,503.14	Facility		$197.34	$1,073.67	$1,503.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $1,073.67 / $1,503.14	Facility		$197.34	$1,073.67	$1,503.14