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 $721.53 / $871.26 / $4,060.69	Facility		$721.53	$871.26	$4,060.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $871.26 / $871.26 / $4,060.69	Facility		$871.26	$871.26	$4,060.69