Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $998.43 / $1,397.80	Facility		$188.12	$998.43	$1,397.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $188.12 / $998.43 / $1,397.80	Facility		$188.12	$998.43	$1,397.80