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 $480.63 / $2,215.36 / $3,167.96	Facility		$480.63	$2,215.36	$3,167.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.63 / $2,215.36 / $3,167.96	Facility		$480.63	$2,215.36	$3,167.96