Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,108.75 / $14,552.94 / $22,888.00	Facility		$5,108.75	$14,552.94	$22,888.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,666.40 / $8,664.61 / $12,130.45	Facility		$1,666.40	$8,664.61	$12,130.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,666.40 / $8,664.61 / $12,130.45	Facility		$1,666.40	$8,664.61	$12,130.45