Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,774.00 / $14,552.94	Facility		$2,236.00	$9,774.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $808.18 / $973.66 / $5,279.92	Facility		$808.18	$973.66	$5,279.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $973.66 / $973.66 / $5,279.92	Facility		$973.66	$973.66	$5,279.92