Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,890.45 / $14,125.38	Facility		$1,412.54	$3,890.45	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,412.54 / $6,025.60	Facility		$537.03	$1,412.54	$6,025.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $6,025.60	Facility		$630.96	$1,318.26	$6,025.60