Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,471.29 / $14,125.38	Facility		$3,890.45	$10,471.29	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $354.81 / $1,737.80	Facility		$251.19	$354.81	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,202.26 / $1,737.80	Facility		$354.81	$1,202.26	$1,737.80