Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,001.47 / $9,813.00 / $17,617.16	Facility		$5,001.47	$9,813.00	$17,617.16
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $15,630.51 / $15,630.51 / $15,630.51	Facility	22	$15,630.51	$15,630.51	$15,630.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,724.24 / $9,143.64 / $12,801.10	Facility		$1,724.24	$9,143.64	$12,801.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,724.24 / $9,143.64 / $12,801.10	Facility		$1,724.24	$9,143.64	$12,801.10