Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,836.66 / $13,413.92 / $20,143.00	Facility		$2,836.66	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,193.83 / $4,573.66 / $6,540.33	Facility		$1,193.83	$4,573.66	$6,540.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,193.83 / $4,573.66 / $6,540.33	Facility		$1,193.83	$4,573.66	$6,540.33