Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,831.85 / $10,480.00 / $13,413.92	Facility		$3,831.85	$10,480.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,623.53 / $6,498.95 / $9,293.50	Facility		$1,623.53	$6,498.95	$9,293.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,623.53 / $6,498.95 / $9,293.50	Facility		$1,623.53	$6,498.95	$9,293.50