Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $557.62 / $2,987.04 / $11,709.00	Facility		$557.62	$2,987.04	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.01 / $751.12 / $1,074.09	Facility		$194.01	$751.12	$1,074.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.01 / $751.12 / $1,074.09	Facility		$194.01	$751.12	$1,074.09