Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $10,715.19 / $14,125.38	Facility		$1,258.93	$10,715.19	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $870.96 / $2,884.03	Facility		$446.68	$870.96	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $776.25 / $2,884.03	Facility		$467.74	$776.25	$2,884.03