Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,919.78 / $1,919.78 / $4,264.51	Facility		$1,919.78	$1,919.78	$4,264.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $817.53 / $4,250.60 / $9,442.03	Facility		$817.53	$4,250.60	$9,442.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $817.53 / $817.53 / $1,712.67	Facility		$817.53	$817.53	$1,712.67