Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,175.36 / $13,413.92	Facility		$3,741.00	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $686.89 / $3,506.31 / $4,908.83	Facility		$686.89	$3,506.31	$4,908.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $686.89 / $3,506.31 / $4,908.83	Facility		$686.89	$3,506.31	$4,908.83