Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.71 / $3,003.77 / $4,205.28	Facility		$588.71	$3,003.77	$4,205.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.71 / $3,003.77 / $4,205.28	Facility		$588.71	$3,003.77	$4,205.28