Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $259.83 / $259.83 / $259.83	Facility		$259.83	$259.83	$259.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $233.98 / $334.59	Facility		$120.62	$233.98	$334.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $233.98 / $334.59	Facility		$120.62	$233.98	$334.59