Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,720.66 / $8,303.41 / $13,413.92	Facility		$2,720.66	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $938.08 / $4,973.91 / $6,963.47	Facility		$938.08	$4,973.91	$6,963.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $938.08 / $4,973.91 / $6,963.47	Facility		$938.08	$4,973.91	$6,963.47