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 $631.13 / $3,363.05 / $4,708.27	Facility		$631.13	$3,363.05	$4,708.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.13 / $3,363.05 / $4,708.27	Facility		$631.13	$3,363.05	$4,708.27