Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $871.02 / $5,084.91 / $13,413.92	Facility		$871.02	$5,084.91	$13,413.92
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $91.45 / $174.20 / $435.75	Facility	53	$91.45	$174.20	$435.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.82 / $835.95 / $2,229.37	Facility		$192.82	$835.95	$2,229.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.82 / $835.95 / $2,229.37	Facility		$192.82	$835.95	$2,229.37