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 $96.45 / $504.37 / $706.12	Facility		$96.45	$504.37	$706.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $504.37 / $706.12	Facility		$96.45	$504.37	$706.12