Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $10,715.19 / $14,125.38	Facility		$1,778.28	$10,715.19	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,202.26 / $4,168.69	Facility		$537.03	$1,202.26	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $933.25 / $3,162.28	Facility		$549.54	$933.25	$3,162.28