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 $746.22 / $4,010.65 / $5,614.91	Facility		$746.22	$4,010.65	$5,614.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $746.22 / $4,010.65 / $5,614.91	Facility		$746.22	$4,010.65	$5,614.91