Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,513.00 / $9,687.67 / $14,552.94	Facility		$4,513.00	$9,687.67	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $157.62 / $721.59 / $1,031.86	Facility		$157.62	$721.59	$1,031.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.62 / $721.59 / $1,031.86	Facility		$157.62	$721.59	$1,031.86