Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,887.78 / $10,900.00 / $14,552.94	Facility		$1,887.78	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $802.70 / $3,559.35 / $5,089.87	Facility		$802.70	$3,559.35	$5,089.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $802.70 / $3,559.35 / $5,089.87	Facility		$802.70	$3,559.35	$5,089.87