Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $657.37 / $7,340.00 / $13,413.92	Facility		$657.37	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.22 / $733.07 / $1,682.52	Facility		$138.22	$733.07	$1,682.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.81 / $733.07 / $1,682.52	Facility		$168.81	$733.07	$1,682.52