Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,276.73 / $1,276.73 / $1,276.73	Facility	52	$1,276.73	$1,276.73	$1,276.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,085.06 / $4,814.42 / $6,884.62	Facility		$1,085.06	$4,814.42	$6,884.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,085.06 / $4,814.42 / $6,884.62	Facility		$1,085.06	$4,814.42	$6,884.62