Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $9,549.93 / $16,595.87	Facility		$1,949.84	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,168.69 / $6,025.60	Facility		$891.25	$4,168.69	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,168.69 / $6,025.60	Facility		$1,148.15	$4,168.69	$6,025.60