Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,205.52 / $13,413.92 / $20,143.00	Facility		$4,205.52	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,742.18 / $7,040.08 / $10,067.31	Facility		$1,742.18	$7,040.08	$10,067.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,742.18 / $7,040.08 / $10,067.31	Facility		$1,742.18	$7,040.08	$10,067.31