Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $319.63 / $4,473.04 / $11,709.00	Facility		$319.63	$4,473.04	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $149.86 / $770.76 / $1,982.16	Facility		$149.86	$770.76	$1,982.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.47 / $770.76 / $1,982.16	Facility		$163.47	$770.76	$1,982.16