Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $5,888.44 / $14,125.38	Facility		$524.81	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $977.24 / $4,365.16	Facility		$199.53	$977.24	$4,365.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,380.38 / $6,025.60	Facility		$257.04	$1,380.38	$6,025.60