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 $386.09 / $1,758.70 / $2,514.94	Facility		$386.09	$1,758.70	$2,514.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $386.09 / $1,758.70 / $2,514.94	Facility		$386.09	$1,758.70	$2,514.94