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 $565.46 / $2,882.20 / $4,121.55	Facility		$565.46	$2,882.20	$4,121.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $565.46 / $2,882.20 / $4,035.08	Facility		$565.46	$2,882.20	$4,035.08