Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,697.08 / $7,663.05 / $13,402.50	Facility		$2,697.08	$7,663.05	$13,402.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $867.50 / $4,468.52 / $6,255.93	Facility		$867.50	$4,468.52	$6,255.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $867.50 / $4,468.52 / $6,255.93	Facility		$867.50	$4,468.52	$6,255.93