Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $372.96 / $372.96 / $372.96	Facility	52	$372.96	$372.96	$372.96
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $149.18 / $149.18 / $149.18	Facility	53	$149.18	$149.18	$149.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $1,363.67 / $1,909.14	Facility		$249.29	$1,363.67	$1,909.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.29 / $1,363.67 / $1,909.14	Facility		$249.29	$1,363.67	$1,909.14