Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,563.69 / $6,541.00 / $13,413.92	Facility		$1,563.69	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $418.90 / $2,201.27 / $4,002.22	Facility		$418.90	$2,201.27	$4,002.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $418.90 / $2,201.27 / $4,002.22	Facility		$418.90	$2,201.27	$4,002.22