Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $757.52 / $3,486.52 / $4,985.72	Facility		$757.52	$3,486.52	$4,985.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $757.52 / $3,486.52 / $4,985.72	Facility		$757.52	$3,486.52	$4,985.72