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 $425.24 / $1,968.39 / $2,814.80	Facility		$425.24	$1,968.39	$2,814.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $425.24 / $1,968.39 / $2,814.80	Facility		$425.24	$1,968.39	$2,814.80