Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.38 / $5,084.91 / $13,413.92	Facility		$275.38	$5,084.91	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $434.05 / $2,029.37 / $3,110.35	Facility		$434.05	$2,029.37	$3,110.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $434.80 / $2,029.37 / $3,110.35	Facility		$434.80	$2,029.37	$3,110.35