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 $478.17 / $2,195.11 / $3,139.01	Facility		$478.17	$2,195.11	$3,139.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.17 / $2,195.11 / $3,139.01	Facility		$478.17	$2,195.11	$3,139.01