Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $452.32 / $10,900.00 / $14,552.94	Facility		$452.32	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $737.27 / $1,054.30	Facility		$189.23	$737.27	$1,054.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.23 / $737.27 / $1,054.30	Facility		$189.23	$737.27	$1,054.30