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 $675.29 / $3,527.28 / $4,938.18	Facility		$675.29	$3,527.28	$4,938.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $675.29 / $3,527.28 / $4,938.18	Facility		$675.29	$3,527.28	$4,938.18