Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.71 / $6,541.00 / $13,413.92	Facility		$1,394.71	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.93 / $1,213.14 / $3,182.65	Facility		$223.93	$1,213.14	$3,182.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.93 / $1,213.14 / $3,182.65	Facility		$223.93	$1,213.14	$3,182.65