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 $470.85 / $585.33 / $3,019.37	Facility		$470.85	$585.33	$3,019.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $585.33 / $585.33 / $3,019.37	Facility		$585.33	$585.33	$3,019.37