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 $995.05 / $4,413.33 / $6,311.06	Facility		$995.05	$4,413.33	$6,311.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $995.05 / $4,413.33 / $6,311.06	Facility		$995.05	$4,413.33	$6,311.06