Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,971.88 / $10,175.36 / $13,413.92	Facility		$1,971.88	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $625.58 / $2,685.87 / $4,682.14	Facility		$625.58	$2,685.87	$4,682.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.58 / $2,685.87 / $4,682.14	Facility		$625.58	$2,685.87	$4,682.14