Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.98 / $10,900.00 / $20,737.80	Facility		$1,013.98	$10,900.00	$20,737.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $4,584.89 / $6,418.85	Facility		$858.58	$4,584.89	$6,418.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $858.58 / $4,584.89 / $6,418.85	Facility		$858.58	$4,584.89	$6,418.85