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 $496.53 / $2,566.39 / $3,592.95	Facility		$496.53	$2,566.39	$3,592.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.53 / $2,566.39 / $3,592.95	Facility		$496.53	$2,566.39	$3,592.95