Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.36 / $6,541.00 / $13,413.92	Facility		$1,299.36	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $382.84 / $2,080.03 / $3,325.69	Facility		$382.84	$2,080.03	$3,325.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $445.89 / $2,080.03 / $3,325.69	Facility		$445.89	$2,080.03	$3,325.69