Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $243.85 / $1,058.85 / $4,878.27	Facility		$243.85	$1,058.85	$4,878.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $243.85 / $1,058.85 / $4,878.27	Facility		$243.85	$1,058.85	$4,878.27