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 $103.78 / $645.05 / $6,548.30	Facility		$103.78	$645.05	$6,548.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.78 / $645.05 / $6,548.30	Facility		$103.78	$645.05	$6,548.30