Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $9,549.93 / $16,595.87	Facility		$1,621.81	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $933.25 / $3,801.89	Facility		$446.68	$933.25	$3,801.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $707.95 / $2,951.21	Facility		$512.86	$707.95	$2,951.21