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 $312.47 / $365.70 / $2,091.69	Facility		$312.47	$365.70	$2,091.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $365.70 / $365.70 / $2,091.69	Facility		$365.70	$365.70	$2,091.69