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 $504.89 / $2,600.89 / $3,641.25	Facility		$504.89	$2,600.89	$3,641.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.89 / $2,600.89 / $3,641.25	Facility		$504.89	$2,600.89	$3,641.25