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 $930.96 / $1,159.73 / $5,984.24	Facility		$930.96	$1,159.73	$5,984.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,159.73 / $1,159.73 / $5,984.24	Facility		$1,159.73	$1,159.73	$5,984.24