Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $10,715.19 / $17,782.79	Facility		$389.05	$10,715.19	$17,782.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $190.55 / $1,000.00	Facility		$151.36	$190.55	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $724.44 / $1,023.29	Facility		$190.55	$724.44	$1,023.29