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 $704.01 / $3,350.90 / $4,691.26	Facility		$704.01	$3,350.90	$4,691.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $704.01 / $3,350.90 / $4,691.26	Facility		$704.01	$3,350.90	$4,691.26