Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,529.85 / $10,900.00 / $14,552.94	Facility		$2,529.85	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $876.98 / $4,625.04 / $6,475.06	Facility		$876.98	$4,625.04	$6,475.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $876.98 / $4,625.04 / $6,475.06	Facility		$876.98	$4,625.04	$6,475.06