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 $399.42 / $1,536.47 / $2,197.15	Facility		$399.42	$1,536.47	$2,197.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $399.42 / $1,536.47 / $2,197.15	Facility		$399.42	$1,536.47	$2,197.15