Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $12,022.64	Facility		$1,819.70	$4,677.35	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,621.81 / $4,073.80	Facility		$549.54	$1,621.81	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $891.25 / $3,090.30	Facility		$549.54	$891.25	$3,090.30