Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $13,803.84	Facility		$4,365.16	$5,248.07	$13,803.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $501.19 / $5,248.07	Facility		$316.23	$501.19	$5,248.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $478.63 / $1,148.15	Facility		$346.74	$478.63	$1,148.15