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 $185.49 / $997.93 / $1,397.10	Facility		$185.49	$997.93	$1,397.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.49 / $997.93 / $1,397.10	Facility		$185.49	$997.93	$1,397.10