Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,793.00 / $16,123.10	Facility		$3,741.00	$10,793.00	$16,123.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $945.67 / $4,953.01 / $6,934.21	Facility		$945.67	$4,953.01	$6,934.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $945.67 / $4,953.01 / $6,934.21	Facility		$945.67	$4,953.01	$6,934.21