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 $213.80 / $302.00 / $1,513.56	Facility		$213.80	$302.00	$1,513.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,047.13 / $1,513.56	Facility		$302.00	$1,047.13	$1,513.56