Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $5,888.44 / $14,125.38	Facility		$194.98	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $457.09 / $3,090.30	Facility		$89.13	$457.09	$3,090.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $467.74 / $3,090.30	Facility		$114.82	$467.74	$3,090.30