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 $710.76 / $3,632.18 / $5,085.05	Facility		$710.76	$3,632.18	$5,085.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $710.76 / $3,632.18 / $5,085.05	Facility		$710.76	$3,632.18	$5,085.05