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 $701.17 / $3,609.57 / $5,053.39	Facility		$701.17	$3,609.57	$5,053.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.05 / $3,609.57 / $5,053.39	Facility		$711.05	$3,609.57	$5,053.39