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 $639.66 / $3,258.51 / $4,561.91	Facility		$639.66	$3,258.51	$4,561.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $639.66 / $3,258.51 / $4,561.91	Facility		$639.66	$3,258.51	$4,561.91