Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,517.79 / $10,900.00 / $14,552.94	Facility		$1,517.79	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.58 / $2,915.23 / $4,168.78	Facility		$636.58	$2,915.23	$4,168.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.58 / $2,915.23 / $4,168.78	Facility		$636.58	$2,915.23	$4,168.78