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 $291.19 / $1,130.17 / $1,616.14	Facility		$291.19	$1,130.17	$1,616.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $291.19 / $1,130.17 / $1,616.14	Facility		$291.19	$1,130.17	$1,616.14