Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,415.10 / $10,900.00 / $28,594.56	Facility		$2,415.10	$10,900.00	$28,594.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $799.44 / $4,096.10 / $5,734.55	Facility		$799.44	$4,096.10	$5,734.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $799.44 / $4,096.10 / $5,734.55	Facility		$799.44	$4,096.10	$5,734.55