Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,207.78 / $9,813.00 / $15,586.00	Facility		$2,207.78	$9,813.00	$15,586.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $936.86 / $3,491.61 / $4,993.00	Facility		$936.86	$3,491.61	$4,993.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $936.86 / $3,491.61 / $4,993.00	Facility		$936.86	$3,491.61	$4,993.00