Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.89 / $6,541.00 / $13,413.92	Facility		$472.89	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $586.74 / $1,079.10	Facility		$107.53	$586.74	$1,079.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.53 / $586.74 / $1,079.10	Facility		$107.53	$586.74	$1,079.10