Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $14,125.38	Facility		$2,511.89	$5,128.61	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,023.29 / $3,715.35	Facility		$707.95	$1,023.29	$3,715.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,754.23	Facility		$724.44	$1,047.13	$2,754.23