Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.42 / $4,473.04 / $11,709.00	Facility		$469.42	$4,473.04	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $478.03 / $683.58 / $1,144.93	Facility		$478.03	$683.58	$1,144.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $478.03 / $683.58 / $1,144.93	Facility		$478.03	$683.58	$1,144.93