Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $9,772.37 / $14,125.38	Facility		$3,890.45	$9,772.37	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,445.44 / $2,884.03	Facility		$380.19	$1,445.44	$2,884.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $776.25 / $2,818.38	Facility		$380.19	$776.25	$2,818.38