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 $512.49 / $636.54 / $3,282.64	Facility		$512.49	$636.54	$3,282.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $636.54 / $636.54 / $3,282.64	Facility		$636.54	$636.54	$3,282.64