Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,606.93 / $14,125.38	Facility		$1,621.81	$6,606.93	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,621.81	Facility		$234.42	$346.74	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $363.08 / $1,230.27	Facility		$234.42	$363.08	$1,230.27