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 $374.16 / $1,536.21 / $2,196.78	Facility		$374.16	$1,536.21	$2,196.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $374.16 / $1,536.21 / $2,196.78	Facility		$374.16	$1,536.21	$2,196.78