Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.00 / $162.00 / $162.00	Facility		$162.00	$162.00	$162.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.50 / $199.73 / $226.47	Facility		$163.50	$199.73	$226.47