Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,854.43 / $13,413.92 / $20,143.00	Facility		$2,854.43	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.02 / $4,841.24 / $6,777.74	Facility		$925.02	$4,841.24	$6,777.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $925.02 / $4,841.24 / $6,777.74	Facility		$925.02	$4,841.24	$6,777.74