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 $512.72 / $1,902.98 / $2,721.26	Facility		$512.72	$1,902.98	$2,721.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $512.72 / $1,902.98 / $2,721.26	Facility		$512.72	$1,902.98	$2,721.26