Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $7,079.46 / $14,125.38	Facility		$1,949.84	$7,079.46	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $426.58 / $1,318.26	Facility		$257.04	$426.58	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $977.24	Facility		$295.12	$416.87	$977.24