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 $113.18 / $619.03 / $866.64	Facility		$113.18	$619.03	$866.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $113.18 / $619.03 / $866.64	Facility		$113.18	$619.03	$866.64