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 $518.63 / $631.55 / $3,340.18	Facility		$518.63	$631.55	$3,340.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $631.55 / $631.55 / $3,340.18	Facility		$631.55	$631.55	$3,340.18