Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $10,964.78 / $16,595.87	Facility		$1,584.89	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $3,630.78	Facility		$489.78	$1,862.09	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,023.29 / $3,630.78	Facility		$489.78	$1,023.29	$3,630.78