Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,532.10 / $9,577.00 / $14,552.94	Facility		$3,532.10	$9,577.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,766.05 / $1,766.05 / $1,766.05	Facility	52	$1,766.05	$1,766.05	$1,766.05
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $706.42 / $706.42 / $706.42	Facility	53	$706.42	$706.42	$706.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,216.74 / $6,457.36 / $9,040.29	Facility		$1,216.74	$6,457.36	$9,040.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,216.74 / $6,457.36 / $9,040.29	Facility		$1,216.74	$6,457.36	$9,040.29