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 $694.09 / $3,589.25 / $5,024.95	Facility		$694.09	$3,589.25	$5,024.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $694.09 / $3,589.25 / $5,024.95	Facility		$694.09	$3,589.25	$5,024.95