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 $519.91 / $2,625.20 / $3,675.28	Facility		$519.91	$2,625.20	$3,675.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $519.91 / $2,625.20 / $3,675.28	Facility		$519.91	$2,625.20	$3,675.28