Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.93 / $10,900.00 / $14,552.94	Facility		$1,700.93	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $2,884.85 / $4,038.79	Facility		$555.20	$2,884.85	$4,038.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.20 / $2,884.85 / $4,038.79	Facility		$555.20	$2,884.85	$4,038.79