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 / $11,709.00	Facility		$2,464.00	$6,782.00	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $529.00 / $740.60	Facility		$104.09	$529.00	$740.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.09 / $529.00 / $740.60	Facility		$104.09	$529.00	$740.60