Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $4,073.80 / $14,125.38	Facility		$288.40	$4,073.80	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $251.19 / $1,230.27	Facility		$165.96	$251.19	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $251.19 / $630.96	Facility		$173.78	$251.19	$630.96