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 $927.87 / $4,708.03 / $6,591.24	Facility		$927.87	$4,708.03	$6,591.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $927.87 / $4,708.03 / $6,591.24	Facility		$927.87	$4,708.03	$6,591.24