Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $5,888.44 / $14,125.38	Facility		$389.05	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $851.14 / $3,981.07	Facility		$147.91	$851.14	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $1,023.29 / $5,623.41	Facility		$181.97	$1,023.29	$5,623.41