Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,129.17 / $6,541.00 / $13,413.92	Facility		$2,129.17	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $838.74 / $5,449.56	Facility		$186.61	$838.74	$5,449.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.61 / $838.74 / $5,449.56	Facility		$186.61	$838.74	$5,449.56