Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $2,459.56 / $3,443.38	Facility		$489.05	$2,459.56	$3,443.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.05 / $2,459.56 / $3,443.38	Facility		$489.05	$2,459.56	$3,443.38