Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,593.17 / $10,175.36 / $16,813.96	Facility		$3,593.17	$10,175.36	$16,813.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.09 / $3,232.31 / $4,525.22	Facility		$633.09	$3,232.31	$4,525.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.09 / $3,232.31 / $4,525.22	Facility		$633.09	$3,232.31	$4,525.22