Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,043.98 / $13,413.92 / $20,143.00	Facility		$4,043.98	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,715.88 / $7,624.76 / $10,903.41	Facility		$1,715.88	$7,624.76	$10,903.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,715.88 / $7,624.76 / $10,903.41	Facility		$1,715.88	$7,624.76	$10,903.41