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 $623.55 / $3,166.91 / $4,433.67	Facility		$623.55	$3,166.91	$4,433.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.55 / $3,166.91 / $4,433.67	Facility		$623.55	$3,166.91	$4,433.67