Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $4,570.88 / $14,125.38	Facility		$354.81	$4,570.88	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $165.96 / $794.33	Facility		$79.43	$165.96	$794.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $331.13 / $776.25	Facility		$128.82	$331.13	$776.25