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 $739.18 / $3,711.20 / $5,195.68	Facility		$739.18	$3,711.20	$5,195.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $739.18 / $3,711.20 / $5,195.68	Facility		$739.18	$3,711.20	$5,195.68