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 $763.23 / $3,922.25 / $5,491.15	Facility		$763.23	$3,922.25	$5,491.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $763.23 / $3,922.25 / $5,491.15	Facility		$763.23	$3,922.25	$5,491.15