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 50 Low / Median / High Price $19,568.00 / $19,568.00 / $19,568.00	Facility	50	$19,568.00	$19,568.00	$19,568.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $552.91 / $669.94 / $3,566.89	Facility		$552.91	$669.94	$3,566.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $669.94 / $669.94 / $3,566.89	Facility		$669.94	$669.94	$3,566.89