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 $509.86 / $1,973.05 / $2,821.46	Facility		$509.86	$1,973.05	$2,821.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $509.86 / $1,973.05 / $2,821.46	Facility		$509.86	$1,973.05	$2,821.46