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 $250.38 / $971.90 / $1,389.82	Facility		$250.38	$971.90	$1,389.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.38 / $971.90 / $1,389.82	Facility		$250.38	$971.90	$1,389.82