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 $625.44 / $3,180.40 / $4,452.56	Facility		$625.44	$3,180.40	$4,452.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $625.44 / $3,180.40 / $4,452.56	Facility		$625.44	$3,180.40	$4,452.56