Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.22 / $6,541.00 / $13,413.92	Facility		$736.22	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $615.30 / $861.43	Facility		$116.59	$615.30	$861.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.59 / $615.30 / $861.43	Facility		$116.59	$615.30	$861.43