Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.36 / $6,541.00 / $13,413.92	Facility		$701.36	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $426.06 / $1,665.36	Facility		$111.45	$426.06	$1,665.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.45 / $468.67 / $1,665.36	Facility		$111.45	$468.67	$1,665.36