Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,105.47 / $6,541.00 / $13,413.92	Facility		$1,105.47	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $715.37 / $2,829.39	Facility		$165.91	$715.37	$2,829.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.91 / $715.37 / $2,829.39	Facility		$165.91	$715.37	$2,829.39