Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,592.34 / $7,340.00 / $13,413.92	Facility		$1,592.34	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $204.46 / $886.13 / $4,075.53	Facility		$204.46	$886.13	$4,075.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.46 / $886.13 / $4,075.53	Facility		$204.46	$886.13	$4,075.53