Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,302.69 / $16,595.87	Facility		$3,890.45	$12,302.69	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $812.83 / $12,302.69	Facility		$338.84	$812.83	$12,302.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $512.86 / $1,905.46	Facility		$338.84	$512.86	$1,905.46