Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $542.46 / $2,495.87 / $3,569.09	Facility		$542.46	$2,495.87	$3,569.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $542.46 / $2,495.87 / $3,569.09	Facility		$542.46	$2,495.87	$3,569.09