Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $7,079.46 / $14,125.38	Facility		$1,659.59	$7,079.46	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $676.08 / $1,584.89	Facility		$251.19	$676.08	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $741.31 / $1,584.89	Facility		$288.40	$741.31	$1,584.89