Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,841.99 / $10,175.36 / $13,413.92	Facility		$1,841.99	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $471.49 / $2,455.33 / $4,373.72	Facility		$471.49	$2,455.33	$4,373.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.41 / $2,655.48 / $4,373.72	Facility		$603.41	$2,655.48	$4,373.72