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 $732.49 / $3,757.41 / $5,260.37	Facility		$732.49	$3,757.41	$5,260.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $732.49 / $3,757.41 / $5,260.37	Facility		$732.49	$3,757.41	$5,260.37