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 $724.29 / $3,784.13 / $5,297.78	Facility		$724.29	$3,784.13	$5,297.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $724.29 / $3,784.13 / $5,297.78	Facility		$724.29	$3,784.13	$5,297.78