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 $576.25 / $703.31 / $3,720.70	Facility		$576.25	$703.31	$3,720.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $703.31 / $703.31 / $3,720.70	Facility		$703.31	$703.31	$3,720.70