Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.55 / $10,900.00 / $14,552.94	Facility		$700.55	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $350.27 / $350.27 / $350.27	Facility	52	$350.27	$350.27	$350.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $238.94 / $1,280.75 / $1,793.05	Facility		$238.94	$1,280.75	$1,793.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $238.94 / $1,280.75 / $1,793.05	Facility		$238.94	$1,280.75	$1,793.05