Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,168.87 / $8,303.41 / $13,413.92	Facility		$2,168.87	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.71 / $3,582.92 / $5,016.09	Facility		$695.71	$3,582.92	$5,016.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $727.30 / $3,582.92 / $5,016.09	Facility		$727.30	$3,582.92	$5,016.09