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 $162.13 / $743.72 / $1,063.52	Facility		$162.13	$743.72	$1,063.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.13 / $743.72 / $1,063.52	Facility		$162.13	$743.72	$1,063.52