Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,549.93 / $16,595.87	Facility		$1,949.84	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $4,897.79	Facility		$630.96	$1,071.52	$4,897.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $3,801.89	Facility		$630.96	$1,071.52	$3,801.89