Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,716.51 / $10,900.00 / $24,200.80	Facility		$2,716.51	$10,900.00	$24,200.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,164.32 / $4,487.62 / $6,417.30	Facility		$1,164.32	$4,487.62	$6,417.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,164.32 / $4,487.62 / $6,417.30	Facility		$1,164.32	$4,487.62	$6,417.30