Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,702.70 / $10,175.36 / $13,413.92	Facility		$1,702.70	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $2,164.55 / $4,043.00	Facility		$508.00	$2,164.55	$4,043.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $545.05 / $2,381.01 / $4,043.00	Facility		$545.05	$2,381.01	$4,043.00