Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,565.42 / $9,813.00 / $17,617.16	Facility		$3,565.42	$9,813.00	$17,617.16
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,782.71 / $1,782.71 / $1,782.71	Facility	52	$1,782.71	$1,782.71	$1,782.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,511.47 / $6,722.48 / $9,613.15	Facility		$1,511.47	$6,722.48	$9,613.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,511.47 / $6,722.48 / $9,613.15	Facility		$1,511.47	$6,722.48	$9,613.15