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 $626.53 / $3,194.32 / $4,472.05	Facility		$626.53	$3,194.32	$4,472.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $626.53 / $3,194.32 / $4,472.05	Facility		$626.53	$3,194.32	$4,472.05