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 $769.76 / $2,866.66 / $4,099.32	Facility		$769.76	$2,866.66	$4,099.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $769.76 / $2,866.66 / $4,099.32	Facility		$769.76	$2,866.66	$4,099.32