Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,868.41 / $6,541.00 / $13,413.92	Facility		$1,868.41	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $454.57 / $650.04	Facility		$120.61	$454.57	$650.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $454.57 / $650.04	Facility		$120.61	$454.57	$650.04