Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,888.44 / $14,125.38	Facility		$1,380.38	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $2,187.76 / $4,466.84	Facility		$416.87	$2,187.76	$4,466.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,258.93 / $4,073.80	Facility		$489.78	$1,258.93	$4,073.80