Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.84 / $10,175.36 / $13,413.92	Facility		$1,910.84	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.00 / $2,461.58 / $4,537.20	Facility		$570.00	$2,461.58	$4,537.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $612.75 / $2,707.74 / $4,537.20	Facility		$612.75	$2,707.74	$4,537.20