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 $227.37 / $265.64 / $1,524.97	Facility		$227.37	$265.64	$1,524.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $265.64 / $265.64 / $1,524.97	Facility		$265.64	$265.64	$1,524.97