Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $138.04 / $295.12	Facility		$57.54	$138.04	$295.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $138.04 / $323.59	Facility		$60.26	$138.04	$323.59