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 $353.27 / $1,814.28 / $2,539.98	Facility		$353.27	$1,814.28	$2,539.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $353.27 / $1,814.28 / $2,539.98	Facility		$353.27	$1,814.28	$2,539.98