Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $11,220.18 / $14,125.38	Facility		$3,890.45	$11,220.18	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $346.74 / $1,621.81	Facility		$229.09	$346.74	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $354.81 / $1,174.90	Facility		$234.42	$354.81	$1,174.90