Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,091.44 / $6,541.00 / $13,413.92	Facility		$2,091.44	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $644.71 / $5,353.01	Facility		$106.83	$644.71	$5,353.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.83 / $644.71 / $5,353.01	Facility		$106.83	$644.71	$5,353.01