Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,964.78 / $16,595.87	Facility		$3,890.45	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,786.30 / $9,772.37	Facility		$1,288.25	$4,786.30	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,691.53 / $9,772.37	Facility		$1,288.25	$2,691.53	$9,772.37