Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $321.58 / $1,691.00 / $6,706.32	Facility		$321.58	$1,691.00	$6,706.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $321.58 / $1,691.00 / $6,706.32	Facility		$321.58	$1,691.00	$6,706.32