Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.96 / $8,303.41 / $13,413.92	Facility		$2,376.96	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $819.91 / $4,345.56 / $6,083.78	Facility		$819.91	$4,345.56	$6,083.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.91 / $4,345.56 / $6,083.78	Facility		$819.91	$4,345.56	$6,083.78