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 $211.76 / $247.50 / $1,619.19	Facility		$211.76	$247.50	$1,619.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $247.50 / $247.50 / $1,619.19	Facility		$247.50	$247.50	$1,619.19