Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,300.11 / $6,541.00 / $13,413.92	Facility		$1,300.11	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $341.49 / $1,801.40 / $3,327.60	Facility		$341.49	$1,801.40	$3,327.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.14 / $1,801.40 / $3,327.60	Facility		$415.14	$1,801.40	$3,327.60