Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,454.00 / $13,413.92	Facility		$3,741.00	$10,454.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $917.08 / $4,851.79 / $6,792.51	Facility		$917.08	$4,851.79	$6,792.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $917.08 / $4,851.79 / $6,792.51	Facility		$917.08	$4,851.79	$6,792.51