Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $716.71 / $7,340.00 / $13,413.92	Facility		$716.71	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $605.35 / $865.65 / $1,692.95	Facility		$605.35	$865.65	$1,692.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $605.35 / $865.65 / $1,692.95	Facility		$605.35	$865.65	$1,692.95