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 $397.24 / $1,544.00 / $2,207.92	Facility		$397.24	$1,544.00	$2,207.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $397.24 / $1,544.00 / $2,207.92	Facility		$397.24	$1,544.00	$2,207.92