Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $296.69 / $1,843.80 / $25,075.90	Facility		$296.69	$1,843.80	$25,075.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $296.69 / $1,843.80 / $25,075.90	Facility		$296.69	$1,843.80	$25,075.90