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 $431.83 / $2,176.58 / $3,047.21	Facility		$431.83	$2,176.58	$3,047.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $431.83 / $2,176.58 / $3,047.21	Facility		$431.83	$2,176.58	$3,047.21