Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $9,813.00 / $14,552.94	Facility		$2,236.00	$9,813.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $774.97 / $937.64 / $5,040.28	Facility		$774.97	$937.64	$5,040.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $937.64 / $937.64 / $5,040.28	Facility		$937.64	$937.64	$5,040.28