Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.72 / $6,479.00 / $13,214.61	Facility		$758.72	$6,479.00	$13,214.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $849.77 / $4,456.68	Facility		$156.90	$849.77	$4,456.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $156.90 / $849.77 / $4,456.68	Facility		$156.90	$849.77	$4,456.68