Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $813.51 / $10,175.36 / $13,413.92	Facility		$813.51	$10,175.36	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $1,342.56 / $4,798.85	Facility		$249.61	$1,342.56	$4,798.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $249.61 / $1,342.56 / $4,798.85	Facility		$249.61	$1,342.56	$4,798.85