Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.78 / $7,340.00 / $13,413.92	Facility		$1,640.78	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $450.77 / $2,035.12 / $3,895.95	Facility		$450.77	$2,035.12	$3,895.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $524.79 / $2,238.63 / $3,895.95	Facility		$524.79	$2,238.63	$3,895.95