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 $556.04 / $2,921.99 / $4,090.79	Facility		$556.04	$2,921.99	$4,090.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $556.04 / $2,921.99 / $4,090.79	Facility		$556.04	$2,921.99	$4,090.79