Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,613.41 / $2,613.41 / $2,613.41	Facility		$2,613.41	$2,613.41	$2,613.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,094.92 / $4,294.29 / $6,140.83	Facility		$1,094.92	$4,294.29	$6,140.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,094.92 / $4,294.29 / $6,140.83	Facility		$1,094.92	$4,294.29	$6,140.83