Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.55 / $9,577.00 / $13,413.92	Facility		$317.55	$9,577.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.78 / $766.17 / $1,209.80	Facility		$535.78	$766.17	$1,209.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.78 / $766.17 / $1,209.80	Facility		$535.78	$766.17	$1,209.80