Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,527.46 / $9,813.00 / $14,552.94	Facility		$2,527.46	$9,813.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $829.92 / $4,286.66 / $6,001.32	Facility		$829.92	$4,286.66	$6,001.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $829.92 / $4,286.66 / $6,001.32	Facility		$829.92	$4,286.66	$6,001.32