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 $658.86 / $3,374.57 / $4,724.39	Facility		$658.86	$3,374.57	$4,724.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $658.86 / $3,374.57 / $4,724.39	Facility		$658.86	$3,374.57	$4,724.39