Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $803.29 / $1,148.70	Facility		$200.67	$803.29	$1,148.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $200.67 / $803.29 / $1,148.70	Facility		$200.67	$803.29	$1,148.70