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 $624.90 / $3,143.62 / $4,401.07	Facility		$624.90	$3,143.62	$4,401.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $624.90 / $3,143.62 / $4,401.07	Facility		$624.90	$3,143.62	$4,401.07