Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,471.33 / $13,413.92 / $20,143.00	Facility		$2,471.33	$13,413.92	$20,143.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $831.09 / $4,518.08 / $6,325.31	Facility		$831.09	$4,518.08	$6,325.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $831.09 / $4,518.08 / $6,325.31	Facility		$831.09	$4,518.08	$6,325.31