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 $886.57 / $1,101.63 / $5,719.91	Facility		$886.57	$1,101.63	$5,719.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,101.63 / $1,101.63 / $5,719.91	Facility		$1,101.63	$1,101.63	$5,719.91