Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $10,964.78 / $16,595.87	Facility		$2,137.96	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $891.25 / $3,981.07	Facility		$812.83	$891.25	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $912.01 / $5,754.40	Facility		$812.83	$912.01	$5,754.40