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 $819.44 / $4,140.16 / $5,796.22	Facility		$819.44	$4,140.16	$5,796.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $819.44 / $4,140.16 / $5,796.22	Facility		$819.44	$4,140.16	$5,796.22