Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,907.60 / $9,577.00 / $11,709.00	Facility		$5,907.60	$9,577.00	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $499.25 / $2,545.50 / $3,563.70	Facility		$499.25	$2,545.50	$3,563.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $499.25 / $2,545.50 / $3,563.70	Facility		$499.25	$2,545.50	$3,563.70