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 $681.62 / $3,483.61 / $4,877.05	Facility		$681.62	$3,483.61	$4,877.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.62 / $3,483.61 / $4,877.05	Facility		$681.62	$3,483.61	$4,877.05