Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,050.63 / $10,900.00 / $14,552.94	Facility		$2,050.63	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $668.47 / $3,477.92 / $4,869.09	Facility		$668.47	$3,477.92	$4,869.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.47 / $3,477.92 / $4,869.09	Facility		$668.47	$3,477.92	$4,869.09