Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,981.07 / $14,125.38	Facility		$1,949.84	$3,981.07	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,096.48 / $3,548.13	Facility		$457.09	$1,096.48	$3,548.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $691.83 / $2,570.40	Facility		$446.68	$691.83	$2,570.40