Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.99 / $7,340.00 / $13,413.92	Facility		$388.99	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $538.37 / $918.83	Facility		$376.48	$538.37	$918.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $376.48 / $538.37 / $918.83	Facility		$376.48	$538.37	$918.83