Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,622.53 / $10,175.36 / $13,413.92	Facility		$1,622.53	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $522.59 / $2,140.52 / $3,852.63	Facility		$522.59	$2,140.52	$3,852.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $525.35 / $2,339.10 / $3,852.63	Facility		$525.35	$2,339.10	$3,852.63