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 $603.01 / $3,134.16 / $4,387.82	Facility		$603.01	$3,134.16	$4,387.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $603.01 / $3,134.16 / $4,387.82	Facility		$603.01	$3,134.16	$4,387.82
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46