Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $14,125.38 / $25,118.86	Facility		$3,548.13	$14,125.38	$25,118.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,818.38 / $10,000.00	Facility		$1,122.02	$2,818.38	$10,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $6,456.54	Facility		$1,122.02	$1,905.46	$6,456.54