Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.60 / $1,220.09 / $10,900.00	Facility		$424.60	$1,220.09	$10,900.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $765.66 / $1,120.80	Facility		$122.31	$765.66	$1,120.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $765.66 / $1,120.80	Facility		$122.31	$765.66	$1,120.80