Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.32 / $5,952.60 / $13,214.21	Facility		$1,993.32	$5,952.60	$13,214.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $452.50 / $2,004.86 / $2,806.80	Facility		$452.50	$2,004.86	$2,806.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $452.50 / $2,004.86 / $2,806.80	Facility		$452.50	$2,004.86	$2,806.80