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 $700.75 / $3,542.80 / $4,959.92	Facility		$700.75	$3,542.80	$4,959.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $700.75 / $3,542.80 / $4,959.92	Facility		$700.75	$3,542.80	$4,959.92