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 $81.25 / $304.93 / $436.05	Facility		$81.25	$304.93	$436.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.25 / $304.93 / $436.05	Facility		$81.25	$304.93	$436.05