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 $450.36 / $2,312.96 / $3,238.14	Facility		$450.36	$2,312.96	$3,238.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $450.36 / $2,312.96 / $3,238.14	Facility		$450.36	$2,312.96	$3,238.14