Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.09 / $6,541.00 / $13,413.92	Facility		$1,087.09	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.64 / $1,353.19 / $2,782.42	Facility		$250.64	$1,353.19	$2,782.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $318.68 / $1,353.19 / $2,782.42	Facility		$318.68	$1,353.19	$2,782.42