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 $647.60 / $3,312.20 / $4,637.08	Facility		$647.60	$3,312.20	$4,637.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $647.60 / $3,312.20 / $4,637.08	Facility		$647.60	$3,312.20	$4,637.08