Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.64 / $7,340.00 / $13,413.92	Facility		$827.64	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $1,193.49 / $1,888.60	Facility		$221.09	$1,193.49	$1,888.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.09 / $1,193.49 / $1,888.60	Facility		$221.09	$1,193.49	$1,888.60