Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,744.20 / $9,813.00 / $13,899.90	Facility		$2,744.20	$9,813.00	$13,899.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $760.13 / $2,925.40 / $4,183.32	Facility		$760.13	$2,925.40	$4,183.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $760.13 / $2,925.40 / $4,183.32	Facility		$760.13	$2,925.40	$4,183.32