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 $461.29 / $2,123.44 / $3,036.52	Facility		$461.29	$2,123.44	$3,036.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $461.29 / $2,123.44 / $3,036.52	Facility		$461.29	$2,123.44	$3,036.52