Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $10,964.78 / $16,595.87	Facility		$309.03	$10,964.78	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $707.95	Facility		$91.20	$190.55	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $181.97 / $549.54	Facility		$93.33	$181.97	$549.54