Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.67 / $6,541.00 / $13,413.92	Facility		$2,326.67	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $1,524.43 / $5,151.50	Facility		$289.54	$1,524.43	$5,151.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $289.54 / $1,524.43 / $5,151.50	Facility		$289.54	$1,524.43	$5,151.50