Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $10,964.78 / $16,595.87	Facility		$478.63	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $1,096.48	Facility		$158.49	$213.80	$1,096.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $776.25 / $1,122.02	Facility		$213.80	$776.25	$1,122.02