Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,243.38 / $10,175.36 / $13,413.92	Facility		$2,243.38	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $699.87 / $3,556.45 / $4,979.03	Facility		$699.87	$3,556.45	$4,979.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $699.87 / $3,556.45 / $4,979.03	Facility		$699.87	$3,556.45	$4,979.03