Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.27 / $3,215.76 / $4,502.06	Facility		$630.27	$3,215.76	$4,502.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.27 / $3,215.76 / $4,502.06	Facility		$630.27	$3,215.76	$4,502.06