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 $164.46 / $199.75 / $1,055.01	Facility		$164.46	$199.75	$1,055.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.75 / $199.75 / $1,055.01	Facility		$199.75	$199.75	$1,055.01