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 $388.70 / $1,448.68 / $2,071.61	Facility		$388.70	$1,448.68	$2,071.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $388.70 / $1,448.68 / $2,071.61	Facility		$388.70	$1,448.68	$2,071.61