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 $789.65 / $3,619.15 / $5,175.38	Facility		$789.65	$3,619.15	$5,175.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $789.65 / $3,619.15 / $5,175.38	Facility		$789.65	$3,619.15	$5,175.38