Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $5,624.45 / $11,709.00	Facility		$2,464.00	$5,624.45	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $707.36 / $1,011.52	Facility		$181.74	$707.36	$1,011.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.74 / $707.36 / $1,011.52	Facility		$181.74	$707.36	$1,011.52