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 $1,207.54 / $6,396.70 / $8,955.37	Facility		$1,207.54	$6,396.70	$8,955.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,207.54 / $6,396.70 / $8,955.37	Facility		$1,207.54	$6,396.70	$8,955.37