Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,263.96 / $10,850.00 / $14,552.94	Facility		$2,263.96	$10,850.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $756.20 / $3,839.77 / $5,375.68	Facility		$756.20	$3,839.77	$5,375.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $756.20 / $3,839.77 / $5,375.68	Facility		$756.20	$3,839.77	$5,375.68