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 $558.33 / $2,848.79 / $3,988.31	Facility		$558.33	$2,848.79	$3,988.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $558.33 / $2,848.79 / $3,988.31	Facility		$558.33	$2,848.79	$3,988.31