Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,752.89 / $6,541.00 / $13,413.92	Facility		$1,752.89	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $390.45 / $1,539.84 / $4,054.06	Facility		$390.45	$1,539.84	$4,054.06
Providence Facility/Professional Facility Modifier Low / Median / High Price $390.45 / $1,693.82 / $4,054.06	Facility		$390.45	$1,693.82	$4,054.06