Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $10,964.78 / $16,595.87	Facility		$1,548.82	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $851.14 / $3,630.78	Facility		$489.78	$851.14	$3,630.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $2,818.38	Facility		$489.78	$831.76	$2,818.38