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 $443.51 / $2,042.90 / $2,921.35	Facility		$443.51	$2,042.90	$2,921.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $443.51 / $2,042.90 / $2,921.35	Facility		$443.51	$2,042.90	$2,921.35