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 $152.81 / $180.70 / $1,473.57	Facility		$152.81	$180.70	$1,473.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.70 / $180.70 / $1,473.57	Facility		$180.70	$180.70	$1,473.57