Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,469.90 / $10,850.00 / $14,592.69	Facility		$2,469.90	$10,850.00	$14,592.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $815.14 / $4,189.03 / $5,864.64	Facility		$815.14	$4,189.03	$5,864.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $815.14 / $4,189.03 / $5,864.64	Facility		$815.14	$4,189.03	$5,864.64