Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,304.12 / $13,413.92 / $20,143.00	Facility		$2,304.12	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $952.36 / $3,857.11 / $5,515.67	Facility		$952.36	$3,857.11	$5,515.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $952.36 / $3,857.11 / $5,515.67	Facility		$952.36	$3,857.11	$5,515.67