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 $253.94 / $1,063.66 / $1,521.03	Facility		$253.94	$1,063.66	$1,521.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $253.94 / $1,063.66 / $1,521.03	Facility		$253.94	$1,063.66	$1,521.03