Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $2,838.34 / $3,973.68	Facility		$573.46	$2,838.34	$3,973.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.46 / $2,838.34 / $3,973.68	Facility		$573.46	$2,838.34	$3,973.68