Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,541.00 / $13,413.92	Facility		$2,464.00	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.85 / $3,512.98 / $4,918.17	Facility		$702.85	$3,512.98	$4,918.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.85 / $3,512.98 / $4,918.17	Facility		$702.85	$3,512.98	$4,918.17