Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,888.44 / $14,125.38	Facility		$2,137.96	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $346.74 / $2,511.89	Facility		$112.20	$346.74	$2,511.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $537.03 / $776.25	Facility		$128.82	$537.03	$776.25