Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,668.66 / $9,813.00 / $14,552.94	Facility		$2,668.66	$9,813.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,104.64 / $4,467.35 / $6,388.32	Facility		$1,104.64	$4,467.35	$6,388.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,104.64 / $4,467.35 / $6,388.32	Facility		$1,104.64	$4,467.35	$6,388.32