Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.66 / $6,541.00 / $13,413.92	Facility		$435.66	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $695.08 / $973.11 / $1,029.08	Facility		$695.08	$973.11	$1,029.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $695.08 / $973.11 / $1,029.08	Facility		$695.08	$973.11	$1,029.08