Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,594.95 / $4,473.04 / $11,709.00	Facility		$1,594.95	$4,473.04	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $734.53 / $1,028.33	Facility		$147.22	$734.53	$1,028.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.22 / $734.53 / $1,028.33	Facility		$147.22	$734.53	$1,028.33