Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $10,900.00 / $14,552.94	Facility		$58.70	$10,900.00	$14,552.94
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $29.35 / $29.35 / $29.35	Facility	52	$29.35	$29.35	$29.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $107.32 / $150.25	Facility		$19.27	$107.32	$150.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $107.32 / $150.25	Facility		$19.27	$107.32	$150.25