Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $10,000.00 / $16,982.44	Facility		$1,584.89	$10,000.00	$16,982.44
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 / $691.83 / $2,884.03	Facility		$489.78	$691.83	$2,884.03