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 $476.16 / $476.16 / $476.16	Facility	52	$476.16	$476.16	$476.16
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $190.46 / $190.46 / $190.46	Facility	53	$190.46	$190.46	$190.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $317.63 / $1,741.02 / $2,437.42	Facility		$317.63	$1,741.02	$2,437.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $317.63 / $1,741.02 / $2,437.42	Facility		$317.63	$1,741.02	$2,437.42