Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,654.13 / $7,340.00 / $13,413.92	Facility		$1,654.13	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $263.13 / $1,139.88 / $4,233.68	Facility		$263.13	$1,139.88	$4,233.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.13 / $1,139.88 / $4,233.68	Facility		$263.13	$1,139.88	$4,233.68