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 $1,121.64 / $4,538.55 / $6,490.13	Facility		$1,121.64	$4,538.55	$6,490.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,121.64 / $4,538.55 / $6,490.13	Facility		$1,121.64	$4,538.55	$6,490.13