Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,715.19 / $18,197.01	Facility		$6,165.95	$10,715.19	$18,197.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $4,786.30 / $12,302.69	Facility		$912.01	$4,786.30	$12,302.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,584.89 / $5,248.07	Facility		$912.01	$1,584.89	$5,248.07