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 $616.42 / $2,733.67 / $3,909.15	Facility		$616.42	$2,733.67	$3,909.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $616.42 / $2,733.67 / $3,909.15	Facility		$616.42	$2,733.67	$3,909.15