Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,640.92 / $8,303.41 / $13,413.92	Facility		$2,640.92	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $888.44 / $4,479.10 / $6,270.75	Facility		$888.44	$4,479.10	$6,270.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $888.44 / $4,479.10 / $6,270.75	Facility		$888.44	$4,479.10	$6,270.75