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 $423.46 / $1,577.91 / $2,256.41	Facility		$423.46	$1,577.91	$2,256.41
Providence Facility/Professional Facility Modifier Low / Median / High Price $423.46 / $1,577.91 / $2,256.41	Facility		$423.46	$1,577.91	$2,256.41