Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.20 / $5,163.22 / $11,709.00	Facility		$867.20	$5,163.22	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $389.77 / $1,693.31 / $3,706.72	Facility		$389.77	$1,693.31	$3,706.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $436.35 / $1,862.64 / $3,706.72	Facility		$436.35	$1,862.64	$3,706.72