Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,992.22 / $13,413.92 / $20,595.00	Facility		$2,992.22	$13,413.92	$20,595.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,262.21 / $4,824.47 / $6,899.01	Facility		$1,262.21	$4,824.47	$6,899.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,262.21 / $4,824.47 / $6,899.01	Facility		$1,262.21	$4,824.47	$6,899.01