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 $942.93 / $3,745.11 / $5,355.51	Facility		$942.93	$3,745.11	$5,355.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $942.93 / $3,745.11 / $5,355.51	Facility		$942.93	$3,745.11	$5,355.51