Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,689.74 / $9,577.00 / $14,552.94	Facility		$1,689.74	$9,577.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.98 / $2,001.91 / $4,012.19	Facility		$450.98	$2,001.91	$4,012.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.64 / $2,202.10 / $4,012.19	Facility		$509.64	$2,202.10	$4,012.19