Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.03 / $7,340.00 / $13,413.92	Facility		$578.03	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $588.38 / $841.38 / $1,365.39	Facility		$588.38	$841.38	$1,365.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $588.38 / $841.38 / $1,365.39	Facility		$588.38	$841.38	$1,365.39