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 $643.54 / $3,292.44 / $4,609.42	Facility		$643.54	$3,292.44	$4,609.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.54 / $3,292.44 / $4,609.42	Facility		$643.54	$3,292.44	$4,609.42