Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,486.75 / $16,360.12 / $20,143.00	Facility		$4,486.75	$16,360.12	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $563.51 / $2,952.74 / $4,133.84	Facility		$563.51	$2,952.74	$4,133.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $563.51 / $2,952.74 / $4,133.84	Facility		$563.51	$2,952.74	$4,133.84