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 $632.88 / $3,183.63 / $4,457.08	Facility		$632.88	$3,183.63	$4,457.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $632.88 / $3,183.63 / $4,457.08	Facility		$632.88	$3,183.63	$4,457.08