Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $178.89 / $305.20	Facility		$89.06	$178.89	$305.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.06 / $153.40 / $305.20	Facility		$89.06	$153.40	$305.20