Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,964.09 / $6,541.00 / $13,413.92	Facility		$1,964.09	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $253.32 / $1,146.38 / $4,663.64	Facility		$253.32	$1,146.38	$4,663.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.32 / $1,146.38 / $4,663.64	Facility		$253.32	$1,146.38	$4,663.64