Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,504.67 / $9,886.00 / $17,869.00	Facility		$1,504.67	$9,886.00	$17,869.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $636.94 / $2,737.55 / $3,914.70	Facility		$636.94	$2,737.55	$3,914.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.94 / $2,737.55 / $3,914.70	Facility		$636.94	$2,737.55	$3,914.70