Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $7,079.46 / $14,125.38	Facility		$416.87	$7,079.46	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $269.15 / $741.31	Facility		$154.88	$269.15	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $288.40 / $741.31	Facility		$173.78	$288.40	$741.31