Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,153.40 / $4,806.00 / $13,413.92	Facility		$2,153.40	$4,806.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $949.86 / $1,329.80	Facility		$186.55	$949.86	$1,329.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.55 / $949.86 / $1,329.80	Facility		$186.55	$949.86	$1,329.80