Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $9,772.37 / $16,982.44	Facility		$645.65	$9,772.37	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $426.58 / $1,479.11	Facility		$75.86	$426.58	$1,479.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $302.00 / $1,174.90	Facility		$75.86	$302.00	$1,174.90