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 $692.35 / $839.42 / $4,473.14	Facility		$692.35	$839.42	$4,473.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $839.42 / $839.42 / $4,473.14	Facility		$839.42	$839.42	$4,473.14