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 $157.06 / $808.28 / $1,131.58	Facility		$157.06	$808.28	$1,131.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.06 / $808.28 / $1,131.58	Facility		$157.06	$808.28	$1,131.58