Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,886.55 / $9,577.00 / $17,617.16	Facility		$2,886.55	$9,577.00	$17,617.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,211.82 / $4,654.10 / $6,655.36	Facility		$1,211.82	$4,654.10	$6,655.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,211.82 / $4,654.10 / $6,655.36	Facility		$1,211.82	$4,654.10	$6,655.36