Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $455.01 / $2,291.11 / $3,207.55	Facility		$455.01	$2,291.11	$3,207.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $455.01 / $2,291.11 / $3,207.55	Facility		$455.01	$2,291.11	$3,207.55