Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.34 / $6,541.00 / $13,413.92	Facility		$244.34	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $398.27 / $557.58	Facility		$76.64	$398.27	$557.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.64 / $398.27 / $557.58	Facility		$76.64	$398.27	$557.58