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 $152.46 / $830.45 / $1,162.63	Facility		$152.46	$830.45	$1,162.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.46 / $830.45 / $1,162.63	Facility		$152.46	$830.45	$1,162.63