Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $511.07 / $2,587.90 / $3,623.06	Facility		$511.07	$2,587.90	$3,623.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.07 / $2,587.90 / $3,623.06	Facility		$511.07	$2,587.90	$3,623.06