Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $12,022.64 / $16,595.87	Facility		$1,778.28	$12,022.64	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $870.96 / $4,677.35	Facility		$691.83	$870.96	$4,677.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,311.31 / $4,677.35	Facility		$870.96	$3,311.31	$4,677.35