Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $10,000.00 / $20,417.38	Facility		$1,905.46	$10,000.00	$20,417.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $758.58 / $3,548.13	Facility		$691.83	$758.58	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $776.25 / $5,011.87	Facility		$691.83	$776.25	$5,011.87