Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,994.70 / $10,900.00 / $14,552.94	Facility		$4,994.70	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,096.65 / $9,593.33 / $13,718.46	Facility		$2,096.65	$9,593.33	$13,718.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,096.65 / $9,593.33 / $13,718.46	Facility		$2,096.65	$9,593.33	$13,718.46