Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,022.64 / $16,595.87	Facility		$3,890.45	$12,022.64	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $5,128.61	Facility		$1,288.25	$1,905.46	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $5,128.61	Facility		$1,445.44	$1,905.46	$5,128.61