Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.82 / $132.08 / $165.02	Facility		$31.82	$132.08	$165.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $28.65 / $76.53	Facility		$14.75	$28.65	$76.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $40.11 / $76.53	Facility		$28.65	$40.11	$76.53