Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,793.00 / $26,780.46	Facility		$3,741.00	$10,793.00	$26,780.46
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $640.46 / $3,255.78 / $4,558.09	Facility		$640.46	$3,255.78	$4,558.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $640.46 / $3,255.78 / $4,558.09	Facility		$640.46	$3,255.78	$4,558.09