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 $299.11 / $1,643.84 / $2,301.38	Facility		$299.11	$1,643.84	$2,301.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $299.11 / $1,643.84 / $2,301.38	Facility		$299.11	$1,643.84	$2,301.38