Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $504.84 / $2,564.40 / $3,590.16	Facility		$504.84	$2,564.40	$3,590.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $504.84 / $2,564.40 / $3,590.16	Facility		$504.84	$2,564.40	$3,590.16