Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.96 / $7,340.00 / $13,413.92	Facility		$594.96	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.36 / $797.54 / $1,980.68	Facility		$150.36	$797.54	$1,980.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $181.19 / $797.54 / $1,980.68	Facility		$181.19	$797.54	$1,980.68