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 $312.62 / $1,570.68 / $2,198.94	Facility		$312.62	$1,570.68	$2,198.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $312.62 / $1,570.68 / $2,198.94	Facility		$312.62	$1,570.68	$2,198.94