Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.12 / $5,328.00 / $11,709.00	Facility		$925.12	$5,328.00	$11,709.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $60.89 / $60.89 / $60.89	Facility	52	$60.89	$60.89	$60.89
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $24.36 / $24.36 / $24.36	Facility	53	$24.36	$24.36	$24.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $222.66 / $311.72	Facility		$39.90	$222.66	$311.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.90 / $166.14 / $311.72	Facility		$39.90	$166.14	$311.72