Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,283.51 / $9,774.00 / $14,552.94	Facility		$2,283.51	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $740.01 / $3,872.91 / $5,422.07	Facility		$740.01	$3,872.91	$5,422.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $740.01 / $3,872.91 / $5,422.07	Facility		$740.01	$3,872.91	$5,422.07