Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,702.12 / $9,774.00 / $14,552.94	Facility		$2,702.12	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $890.36 / $4,582.89 / $6,416.05	Facility		$890.36	$4,582.89	$6,416.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $890.36 / $4,582.89 / $6,416.05	Facility		$890.36	$4,582.89	$6,416.05