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 $21.91 / $118.73 / $166.22	Facility		$21.91	$118.73	$166.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $118.73 / $166.22	Facility		$21.91	$118.73	$166.22