Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,826.44 / $6,541.00 / $13,413.92	Facility		$1,826.44	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $388.20 / $4,674.70	Facility		$63.40	$388.20	$4,674.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.40 / $388.20 / $4,674.70	Facility		$63.40	$388.20	$4,674.70