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 $229.95 / $855.14 / $1,222.84	Facility		$229.95	$855.14	$1,222.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.95 / $855.14 / $1,222.84	Facility		$229.95	$855.14	$1,222.84