Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $685.90 / $7,340.00 / $13,413.92	Facility		$685.90	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $518.66 / $1,565.20	Facility		$95.56	$518.66	$1,565.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.56 / $518.66 / $1,565.20	Facility		$95.56	$518.66	$1,565.20