Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.08 / $146.47 / $833.59	Facility		$125.08	$146.47	$833.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $146.47 / $833.59	Facility		$146.47	$146.47	$833.59