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 $639.42 / $3,347.90 / $4,687.06	Facility		$639.42	$3,347.90	$4,687.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $639.42 / $3,347.90 / $4,687.06	Facility		$639.42	$3,347.90	$4,687.06