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 $578.50 / $2,930.96 / $4,103.34	Facility		$578.50	$2,930.96	$4,103.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $578.50 / $2,930.96 / $4,103.34	Facility		$578.50	$2,930.96	$4,103.34