Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $9,549.93 / $16,595.87	Facility		$1,659.59	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $4,168.69	Facility		$489.78	$489.78	$4,168.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $4,168.69	Facility		$489.78	$831.76	$4,168.69