Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $14,125.38	Facility		$2,137.96	$4,365.16	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $457.09 / $2,137.96	Facility		$181.97	$457.09	$2,137.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $309.03 / $1,047.13	Facility		$181.97	$309.03	$1,047.13