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 $257.51 / $1,340.52 / $1,876.73	Facility		$257.51	$1,340.52	$1,876.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.51 / $1,340.52 / $1,876.73	Facility		$257.51	$1,340.52	$1,876.73