Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,370.77 / $8,303.41 / $13,413.92	Facility		$2,370.77	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $996.59 / $4,313.33 / $6,168.06	Facility		$996.59	$4,313.33	$6,168.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $996.59 / $4,313.33 / $6,168.06	Facility		$996.59	$4,313.33	$6,168.06