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 $195.20 / $1,068.98 / $1,496.57	Facility		$195.20	$1,068.98	$1,496.57
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.20 / $1,068.98 / $1,496.57	Facility		$195.20	$1,068.98	$1,496.57