Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,000.00 / $16,982.44	Facility		$2,137.96	$10,000.00	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $3,981.07	Facility		$758.58	$812.83	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $831.76 / $5,623.41	Facility		$758.58	$831.76	$5,623.41