Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $250.11 / $965.33 / $1,380.42	Facility		$250.11	$965.33	$1,380.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $250.11 / $965.33 / $1,380.42	Facility		$250.11	$965.33	$1,380.42