Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,796.22 / $10,900.00 / $14,552.94	Facility		$4,796.22	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,398.11 / $2,398.11 / $2,398.11	Facility	52	$2,398.11	$2,398.11	$2,398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,638.33 / $8,768.40 / $12,275.76	Facility		$1,638.33	$8,768.40	$12,275.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,638.33 / $8,768.40 / $12,275.76	Facility		$1,638.33	$8,768.40	$12,275.76