Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,746.65 / $13,413.92 / $20,143.00	Facility		$2,746.65	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $903.74 / $4,658.43 / $6,521.82	Facility		$903.74	$4,658.43	$6,521.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $903.74 / $4,658.43 / $6,521.82	Facility		$903.74	$4,658.43	$6,521.82