Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $792.91 / $959.07 / $5,128.82	Facility		$792.91	$959.07	$5,128.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $959.07 / $959.07 / $5,128.82	Facility		$959.07	$959.07	$5,128.82