Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $10,964.78 / $16,595.87	Facility		$1,621.81	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $831.76 / $4,168.69	Facility		$588.84	$831.76	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,951.21 / $4,168.69	Facility		$831.76	$2,951.21	$4,168.69