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 $415.40 / $1,898.95 / $2,715.50	Facility		$415.40	$1,898.95	$2,715.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $415.40 / $1,898.95 / $2,715.50	Facility		$415.40	$1,898.95	$2,715.50