Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,767.40 / $10,175.36 / $16,269.62	Facility		$2,767.40	$10,175.36	$16,269.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $959.24 / $5,059.34 / $7,083.08	Facility		$959.24	$5,059.34	$7,083.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $959.24 / $5,059.34 / $7,083.08	Facility		$959.24	$5,059.34	$7,083.08