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 $391.74 / $1,970.74 / $2,759.04	Facility		$391.74	$1,970.74	$2,759.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $391.74 / $1,970.74 / $2,759.04	Facility		$391.74	$1,970.74	$2,759.04