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 $491.24 / $2,487.67 / $3,482.75	Facility		$491.24	$2,487.67	$3,482.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $491.24 / $2,487.67 / $3,482.75	Facility		$491.24	$2,487.67	$3,482.75