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 $687.52 / $3,493.85 / $4,891.39	Facility		$687.52	$3,493.85	$4,891.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $687.52 / $3,493.85 / $4,891.39	Facility		$687.52	$3,493.85	$4,891.39