Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $805.20 / $805.20 / $805.20	Professional		$805.20	$805.20	$805.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $1,127.28	Facility		$805.20	$805.20	$1,127.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $805.20 / $805.20 / $1,127.28	Facility		$805.20	$805.20	$1,127.28