Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,431.85 / $9,813.00 / $14,552.94	Facility		$2,431.85	$9,813.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $804.79 / $4,124.49 / $5,774.29	Facility		$804.79	$4,124.49	$5,774.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $804.79 / $4,124.49 / $5,774.29	Facility		$804.79	$4,124.49	$5,774.29