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 $166.88 / $916.24 / $1,282.74	Facility		$166.88	$916.24	$1,282.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.88 / $916.24 / $1,282.74	Facility		$166.88	$916.24	$1,282.74