Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $10,715.19 / $14,125.38	Facility		$1,737.80	$10,715.19	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,202.26 / $4,073.80	Facility		$524.81	$1,202.26	$4,073.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $3,162.28	Facility		$549.54	$933.25	$3,162.28