Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,496.52 / $10,175.36 / $13,413.92	Facility		$2,496.52	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $662.36 / $3,576.17 / $5,006.64	Facility		$662.36	$3,576.17	$5,006.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.00 / $3,576.17 / $5,006.64	Facility		$668.00	$3,576.17	$5,006.64