Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $428.24 / $428.24 / $428.24	Facility	52	$428.24	$428.24	$428.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $285.56 / $1,565.79 / $2,192.11	Facility		$285.56	$1,565.79	$2,192.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $285.56 / $1,565.79 / $2,192.11	Facility		$285.56	$1,565.79	$2,192.11