Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,730.83 / $13,413.92 / $20,143.00	Facility		$2,730.83	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,131.50 / $4,571.43 / $6,537.14	Facility		$1,131.50	$4,571.43	$6,537.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,131.50 / $4,571.43 / $6,537.14	Facility		$1,131.50	$4,571.43	$6,537.14