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 $453.34 / $2,286.44 / $3,201.03	Facility		$453.34	$2,286.44	$3,201.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $453.34 / $2,286.44 / $3,201.03	Facility		$453.34	$2,286.44	$3,201.03