Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,193.90 / $1,193.90 / $1,193.90	Facility	52	$1,193.90	$1,193.90	$1,193.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,013.57 / $3,776.30 / $5,400.11	Facility		$1,013.57	$3,776.30	$5,400.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,013.57 / $3,776.30 / $5,400.11	Facility		$1,013.57	$3,776.30	$5,400.11