Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,294.77 / $10,900.00 / $14,552.94	Facility		$2,294.77	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $968.49 / $3,740.35 / $5,348.70	Facility		$968.49	$3,740.35	$5,348.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $968.49 / $3,740.35 / $5,348.70	Facility		$968.49	$3,740.35	$5,348.70