Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.74 / $503.72 / $785.96	Facility		$99.74	$503.72	$785.96
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $223.30 / $700.70 / $700.70	Facility	25	$223.30	$700.70	$700.70
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $22.85 / $39.29	Facility		$20.52	$22.85	$39.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.52 / $24.41 / $31.99	Facility		$20.52	$24.41	$31.99