Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $434.72 / $3,642.30 / $7,513.66	Facility		$434.72	$3,642.30	$7,513.66
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $88.47 / $3,535.84 / $8,475.40	Facility	25	$88.47	$3,535.84	$8,475.40
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $241.35 / $935.00 / $2,558.67	Professional	25	$241.35	$935.00	$2,558.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $349.96 / $1,014.88	Facility		$297.47	$349.96	$1,014.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.88 / $349.96 / $489.94	Facility		$207.88	$349.96	$489.94