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 $403.90 / $1,856.09 / $2,654.21	Facility		$403.90	$1,856.09	$2,654.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $403.90 / $1,856.09 / $2,654.21	Facility		$403.90	$1,856.09	$2,654.21