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 $755.19 / $3,861.93 / $5,406.70	Facility		$755.19	$3,861.93	$5,406.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $755.19 / $3,861.93 / $5,406.70	Facility		$755.19	$3,861.93	$5,406.70