Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $488.81 / $2,010.50 / $2,875.02	Facility		$488.81	$2,010.50	$2,875.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $488.81 / $2,010.50 / $2,875.02	Facility		$488.81	$2,010.50	$2,875.02