Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,687.68 / $9,774.00 / $14,552.94	Facility		$2,687.68	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,144.59 / $1,415.60 / $7,381.97	Facility		$1,144.59	$1,415.60	$7,381.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,415.60 / $1,415.60 / $7,381.97	Facility		$1,415.60	$1,415.60	$7,381.97