Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,774.38 / $10,900.00 / $14,552.94	Facility		$4,774.38	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,387.19 / $2,387.19 / $2,387.19	Facility	52	$2,387.19	$2,387.19	$2,387.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,647.65 / $8,728.49 / $12,219.89	Facility		$1,647.65	$8,728.49	$12,219.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,647.65 / $8,728.49 / $12,219.89	Facility		$1,647.65	$8,728.49	$12,219.89