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 $668.13 / $2,963.88 / $4,238.35	Facility		$668.13	$2,963.88	$4,238.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.13 / $2,963.88 / $4,238.35	Facility		$668.13	$2,963.88	$4,238.35