Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.31 / $10,900.00 / $14,552.94	Facility		$2,049.31	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $868.45 / $3,728.48 / $5,331.73	Facility		$868.45	$3,728.48	$5,331.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $868.45 / $3,728.48 / $5,331.73	Facility		$868.45	$3,728.48	$5,331.73