Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,754.40 / $14,125.38	Facility		$1,202.26	$5,754.40	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $4,570.88	Facility		$234.42	$446.68	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $446.68 / $1,995.26	Facility		$234.42	$446.68	$1,995.26