Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.28 / $6,541.00 / $13,413.92	Facility		$771.28	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $353.47 / $1,974.04	Facility		$82.20	$353.47	$1,974.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.20 / $353.47 / $1,974.04	Facility		$82.20	$353.47	$1,974.04