Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $6,606.93 / $14,125.38	Facility		$1,949.84	$6,606.93	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,258.93 / $3,162.28	Facility		$302.00	$1,258.93	$3,162.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,445.44 / $3,162.28	Facility		$346.74	$1,445.44	$3,162.28