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 $948.78 / $5,002.63 / $7,003.68	Facility		$948.78	$5,002.63	$7,003.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $948.78 / $5,002.63 / $7,003.68	Facility		$948.78	$5,002.63	$7,003.68