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 $709.98 / $3,622.23 / $5,071.12	Facility		$709.98	$3,622.23	$5,071.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $709.98 / $3,622.23 / $5,071.12	Facility		$709.98	$3,622.23	$5,071.12