Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,612.86 / $13,413.92 / $20,143.00	Facility		$3,612.86	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,519.49 / $1,833.03 / $9,923.16	Facility		$1,519.49	$1,833.03	$9,923.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,833.03 / $1,833.03 / $9,923.16	Facility		$1,833.03	$1,833.03	$9,923.16