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 $468.04 / $2,413.98 / $3,379.59	Facility		$468.04	$2,413.98	$3,379.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.78 / $2,413.98 / $3,379.59	Facility		$488.78	$2,413.98	$3,379.59