Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,340.27 / $10,900.00 / $14,552.94	Facility		$5,340.27	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,670.14 / $2,670.14 / $2,670.14	Facility	52	$2,670.14	$2,670.14	$2,670.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,840.62 / $9,763.04 / $13,668.27	Facility		$1,840.62	$9,763.04	$13,668.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,840.62 / $9,763.04 / $13,668.27	Facility		$1,840.62	$9,763.04	$13,668.27