Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,236.00 / $13,413.92 / $20,595.00	Facility		$2,236.00	$13,413.92	$20,595.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $573.19 / $2,632.01 / $3,763.77	Facility		$573.19	$2,632.01	$3,763.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $573.19 / $2,632.01 / $3,763.77	Facility		$573.19	$2,632.01	$3,763.77