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 $401.70 / $2,050.82 / $2,871.15	Facility		$401.70	$2,050.82	$2,871.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $401.70 / $2,050.82 / $2,871.15	Facility		$401.70	$2,050.82	$2,871.15