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 $474.79 / $2,605.64 / $3,647.90	Facility		$474.79	$2,605.64	$3,647.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $474.79 / $2,605.64 / $3,647.90	Facility		$474.79	$2,605.64	$3,647.90