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 $298.81 / $1,158.76 / $1,657.03	Facility		$298.81	$1,158.76	$1,657.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $298.81 / $1,158.76 / $1,657.03	Facility		$298.81	$1,158.76	$1,657.03