Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,000.00 / $20,417.38	Facility		$1,737.80	$10,000.00	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $758.58 / $3,981.07	Facility		$501.19	$758.58	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $758.58 / $3,090.30	Facility		$537.03	$758.58	$3,090.30