Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $12,022.64	Facility		$3,630.78	$3,630.78	$12,022.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $3,019.95	Facility		$575.44	$831.76	$3,019.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $851.14 / $2,238.72	Facility		$616.60	$851.14	$2,238.72