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 $907.47 / $4,029.36 / $5,761.98	Facility		$907.47	$4,029.36	$5,761.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $907.47 / $4,029.36 / $5,761.98	Facility		$907.47	$4,029.36	$5,761.98