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 $394.81 / $2,053.01 / $2,874.21	Facility		$394.81	$2,053.01	$2,874.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $394.81 / $2,053.01 / $2,874.21	Facility		$394.81	$2,053.01	$2,874.21