Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,879.49 / $9,285.00 / $13,413.92	Facility		$4,879.49	$9,285.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $772.55 / $4,047.86 / $5,667.00	Facility		$772.55	$4,047.86	$5,667.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $772.55 / $4,047.86 / $5,667.00	Facility		$772.55	$4,047.86	$5,667.00