Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,755.19 / $8,303.41 / $13,413.92	Facility		$2,755.19	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $889.60 / $4,672.91 / $6,542.07	Facility		$889.60	$4,672.91	$6,542.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $889.60 / $4,672.91 / $6,542.07	Facility		$889.60	$4,672.91	$6,542.07