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 $896.80 / $3,973.78 / $5,682.51	Facility		$896.80	$3,973.78	$5,682.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $896.80 / $3,973.78 / $5,682.51	Facility		$896.80	$3,973.78	$5,682.51