Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $9,549.93 / $16,595.87	Facility		$776.25	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $407.38 / $1,698.24	Facility		$275.42	$407.38	$1,698.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,202.26 / $1,737.80	Facility		$407.38	$1,202.26	$1,737.80