Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,063.63 / $6,541.00 / $13,413.92	Facility		$1,063.63	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $753.38 / $2,722.34	Facility		$174.46	$753.38	$2,722.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.46 / $753.38 / $2,722.34	Facility		$174.46	$753.38	$2,722.34