Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $591.80 / $7,340.00 / $13,413.92	Facility		$591.80	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $361.96 / $1,368.71	Facility		$77.83	$361.96	$1,368.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.83 / $361.96 / $1,368.71	Facility		$77.83	$361.96	$1,368.71