Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,687.52 / $6,541.00 / $13,413.92	Facility		$1,687.52	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $656.07 / $4,319.17	Facility		$112.69	$656.07	$4,319.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $656.07 / $4,319.17	Facility		$112.69	$656.07	$4,319.17