Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,655.58 / $10,900.00 / $14,552.94	Facility		$1,655.58	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.45 / $3,012.14 / $4,307.35	Facility		$707.45	$3,012.14	$4,307.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $707.45 / $3,012.14 / $4,307.35	Facility		$707.45	$3,012.14	$4,307.35