Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,417.07 / $10,175.36 / $13,413.92	Facility		$1,417.07	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $400.13 / $1,707.36 / $3,364.75	Facility		$400.13	$1,707.36	$3,364.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.52 / $1,878.10 / $3,364.75	Facility		$450.52	$1,878.10	$3,364.75