Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.66 / $62.66 / $172.95	Facility		$62.66	$62.66	$172.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $73.27 / $197.99	Facility		$28.78	$73.27	$197.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $71.73 / $197.99	Facility		$28.78	$71.73	$197.99