Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,825.52 / $13,413.92	Facility		$1,872.00	$6,825.52	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $498.57 / $712.96	Facility		$130.83	$498.57	$712.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.83 / $498.57 / $712.96	Facility		$130.83	$498.57	$712.96