Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $6,541.00 / $13,413.92	Facility		$1,200.99	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $475.27 / $3,073.87	Facility		$95.53	$475.27	$3,073.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $475.27 / $3,073.87	Facility		$95.53	$475.27	$3,073.87