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 $643.63 / $3,208.54 / $4,491.96	Facility		$643.63	$3,208.54	$4,491.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $643.63 / $3,208.54 / $4,491.96	Facility		$643.63	$3,208.54	$4,491.96