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 $990.87 / $5,119.46 / $7,167.24	Facility		$990.87	$5,119.46	$7,167.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $990.87 / $5,119.46 / $7,167.24	Facility		$990.87	$5,119.46	$7,167.24