Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,541.00 / $13,413.92	Facility		$2,464.00	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $412.86 / $2,651.19 / $12,425.98	Facility		$412.86	$2,651.19	$12,425.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $412.86 / $2,651.19 / $12,425.98	Facility		$412.86	$2,651.19	$12,425.98