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 $230.04 / $1,248.48 / $1,747.87	Facility		$230.04	$1,248.48	$1,747.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.04 / $1,248.48 / $1,747.87	Facility		$230.04	$1,248.48	$1,747.87