Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.44 / $7,340.00 / $13,413.92	Facility		$621.44	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.75 / $927.71 / $1,467.90	Facility		$648.75	$927.71	$1,467.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.75 / $927.71 / $1,467.90	Facility		$648.75	$927.71	$1,467.90