Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,636.69 / $10,900.00 / $14,552.94	Facility		$1,636.69	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.89 / $2,703.79 / $3,866.42	Facility		$699.89	$2,703.79	$3,866.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.89 / $2,703.79 / $3,866.42	Facility		$699.89	$2,703.79	$3,866.42