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 $450.63 / $2,648.15 / $21,729.96	Facility		$450.63	$2,648.15	$21,729.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.63 / $3,007.83 / $21,729.96	Facility		$450.63	$3,007.83	$21,729.96