Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $10,715.19 / $14,125.38	Facility		$1,621.81	$10,715.19	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,862.09 / $3,715.35	Facility		$489.78	$1,862.09	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,047.13 / $3,715.35	Facility		$489.78	$1,047.13	$3,715.35