Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $12,336.93 / $20,143.00	Facility		$2,236.00	$12,336.93	$20,143.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $689.09 / $689.09 / $689.09	Facility	52	$689.09	$689.09	$689.09
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $275.64 / $275.64 / $275.64	Facility	53	$275.64	$275.64	$275.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.02 / $1,126.97 / $1,611.57	Facility		$640.02	$1,126.97	$1,611.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.02 / $1,126.97 / $1,611.57	Facility		$640.02	$1,126.97	$1,611.57