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 $614.49 / $3,137.28 / $4,392.18	Facility		$614.49	$3,137.28	$4,392.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $614.49 / $3,137.28 / $4,392.18	Facility		$614.49	$3,137.28	$4,392.18