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 $419.53 / $1,615.98 / $2,310.85	Facility		$419.53	$1,615.98	$2,310.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $419.53 / $1,615.98 / $2,310.85	Facility		$419.53	$1,615.98	$2,310.85