Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $252.17 / $252.17 / $252.17	Facility		$252.17	$252.17	$252.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.47 / $458.81 / $656.10	Facility		$105.47	$458.81	$656.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.47 / $458.81 / $656.10	Facility		$105.47	$458.81	$656.10