Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.83 / $6,541.00 / $13,413.92	Facility		$1,311.83	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.05 / $526.47 / $3,357.59	Facility		$121.05	$526.47	$3,357.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.05 / $526.47 / $3,357.59	Facility		$121.05	$526.47	$3,357.59