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 $3,060.46 / $4,284.64 / $4,376.46	Facility		$3,060.46	$4,284.64	$4,376.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,060.46 / $4,284.64 / $4,376.46	Facility		$3,060.46	$4,284.64	$4,376.46