Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,179.18 / $14,552.94 / $22,888.00	Facility		$4,179.18	$14,552.94	$22,888.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,369.52 / $7,088.04 / $9,923.26	Facility		$1,369.52	$7,088.04	$9,923.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,369.52 / $7,088.04 / $9,923.26	Facility		$1,369.52	$7,088.04	$9,923.26