Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.96 / $620.96 / $620.96	Facility		$620.96	$620.96	$620.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.68 / $1,012.14 / $1,447.36	Facility		$259.68	$1,012.14	$1,447.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.68 / $1,012.14 / $1,447.36	Facility		$259.68	$1,012.14	$1,447.36