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 $863.21 / $4,526.89 / $6,337.65	Facility		$863.21	$4,526.89	$6,337.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $883.96 / $4,526.89 / $6,337.65	Facility		$883.96	$4,526.89	$6,337.65