Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,647.80 / $9,813.00 / $14,552.94	Facility		$2,647.80	$9,813.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,112.56 / $4,269.14 / $6,104.87	Facility		$1,112.56	$4,269.14	$6,104.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,112.56 / $4,269.14 / $6,104.87	Facility		$1,112.56	$4,269.14	$6,104.87