Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $822.53 / $10,480.00 / $13,413.92	Facility		$822.53	$10,480.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $159.94 / $742.08 / $1,953.08	Facility		$159.94	$742.08	$1,953.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.22 / $816.29 / $1,953.08	Facility		$192.22	$816.29	$1,953.08