Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,143.00	Facility		$2,236.00	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $816.35 / $992.91 / $5,235.74	Facility		$816.35	$992.91	$5,235.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $992.91 / $992.91 / $5,235.74	Facility		$992.91	$992.91	$5,235.74