Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,530.96 / $7,340.00 / $13,413.92	Facility		$1,530.96	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $500.38 / $659.38 / $4,204.93	Facility		$500.38	$659.38	$4,204.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $609.44 / $823.08 / $4,204.93	Facility		$609.44	$823.08	$4,204.93