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 $809.24 / $3,901.69 / $5,462.37	Facility		$809.24	$3,901.69	$5,462.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $809.24 / $3,901.69 / $5,462.37	Facility		$809.24	$3,901.69	$5,462.37