Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,454.00 / $13,413.92	Facility		$3,741.00	$10,454.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.51 / $1,206.24 / $1,724.92	Facility		$297.51	$1,206.24	$1,724.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.51 / $1,206.24 / $1,724.92	Facility		$297.51	$1,206.24	$1,724.92