Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,503.61 / $9,813.00 / $22,888.00	Facility		$2,503.61	$9,813.00	$22,888.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $828.15 / $4,246.18 / $5,944.67	Facility		$828.15	$4,246.18	$5,944.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $828.15 / $4,246.18 / $5,944.67	Facility		$828.15	$4,246.18	$5,944.67