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 $622.04 / $3,287.56 / $4,602.58	Facility		$622.04	$3,287.56	$4,602.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $622.04 / $3,287.56 / $4,602.58	Facility		$622.04	$3,287.56	$4,602.58