Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,482.72 / $9,577.00 / $13,471.82	Facility		$3,482.72	$9,577.00	$13,471.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $687.24 / $3,585.30 / $5,019.42	Facility		$687.24	$3,585.30	$5,019.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.24 / $3,585.30 / $5,019.42	Facility		$687.24	$3,585.30	$5,019.42