Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $14,125.38 / $22,387.21	Facility		$2,137.96	$14,125.38	$22,387.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,071.52 / $4,570.88	Facility		$707.95	$1,071.52	$4,570.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $3,235.94 / $4,570.88	Facility		$1,071.52	$3,235.94	$4,570.88