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 $922.19 / $4,738.96 / $6,634.54	Facility		$922.19	$4,738.96	$6,634.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $922.19 / $4,738.96 / $6,634.54	Facility		$922.19	$4,738.96	$6,634.54