Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,886.00 / $17,695.00	Facility		$2,236.00	$9,886.00	$17,695.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $576.70 / $3,015.60 / $4,221.84	Facility		$576.70	$3,015.60	$4,221.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $576.70 / $3,015.60 / $4,221.84	Facility		$576.70	$3,015.60	$4,221.84