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 $390.06 / $1,958.26 / $2,741.56	Facility		$390.06	$1,958.26	$2,741.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.06 / $1,958.26 / $2,741.56	Facility		$390.06	$1,958.26	$2,741.56