Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,028.85 / $9,285.00 / $20,763.80	Facility		$5,028.85	$9,285.00	$20,763.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $789.72 / $4,023.09 / $5,632.33	Facility		$789.72	$4,023.09	$5,632.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.72 / $4,023.09 / $5,632.33	Facility		$789.72	$4,023.09	$5,632.33