Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $625.64 / $4,500.00 / $5,519.00	Facility		$625.64	$4,500.00	$5,519.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $306.66 / $634.44 / $779.54	Facility		$306.66	$634.44	$779.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,600.00 / $11,800.00 / $29,092.00	Facility		$2,600.00	$11,800.00	$29,092.00