Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.17 / $573.67 / $803.15	Facility		$106.17	$573.67	$803.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.17 / $573.67 / $803.15	Facility		$106.17	$573.67	$803.15