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 $155.85 / $810.19 / $1,134.27	Facility		$155.85	$810.19	$1,134.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $155.85 / $810.19 / $1,134.27	Facility		$155.85	$810.19	$1,134.27