Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,514.86 / $10,175.36 / $13,413.92	Facility		$2,514.86	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,583.54 / $5,016.96 / $5,940.38	Facility		$3,583.54	$5,016.96	$5,940.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,583.54 / $5,016.96 / $5,940.38	Facility		$3,583.54	$5,016.96	$5,940.38