Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $10,715.19 / $14,125.38	Facility		$1,513.56	$10,715.19	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,047.13 / $3,467.37	Facility		$457.09	$1,047.13	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $831.76 / $2,691.53	Facility		$467.74	$831.76	$2,691.53