Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,940.76 / $18,031.25 / $25,784.70	Facility		$3,940.76	$18,031.25	$25,784.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,940.76 / $18,031.25 / $25,784.70	Facility		$3,940.76	$18,031.25	$25,784.70