Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,204.76 / $14,175.42	Facility		$3,741.00	$10,204.76	$14,175.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $661.56 / $3,388.55 / $4,743.97	Facility		$661.56	$3,388.55	$4,743.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $661.56 / $3,388.55 / $4,743.97	Facility		$661.56	$3,388.55	$4,743.97