Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $659.12 / $3,456.63 / $4,839.28	Facility		$659.12	$3,456.63	$4,839.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.19 / $3,456.63 / $4,839.28	Facility		$675.19	$3,456.63	$4,839.28