Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.38 / $7,340.00 / $13,413.92	Facility		$1,085.38	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $740.54 / $2,778.01	Facility		$171.17	$740.54	$2,778.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $740.54 / $2,778.01	Facility		$171.17	$740.54	$2,778.01