Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $9,285.00 / $18,562.05	Facility		$1,872.00	$9,285.00	$18,562.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $378.23 / $1,897.07 / $2,655.90	Facility		$378.23	$1,897.07	$2,655.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $378.23 / $1,897.07 / $2,655.90	Facility		$378.23	$1,897.07	$2,655.90