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 $889.76 / $1,087.68 / $5,752.78	Facility		$889.76	$1,087.68	$5,752.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,087.68 / $1,087.68 / $5,752.78	Facility		$1,087.68	$1,087.68	$5,752.78