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 $509.59 / $2,597.19 / $3,636.07	Facility		$509.59	$2,597.19	$3,636.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.59 / $2,597.19 / $3,636.07	Facility		$509.59	$2,597.19	$3,636.07