Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $1,071.44 / $1,500.02	Facility		$215.15	$1,071.44	$1,500.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $215.15 / $1,071.44 / $1,500.02	Facility		$215.15	$1,071.44	$1,500.02