Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $9,549.93 / $16,595.87	Facility		$602.56	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $302.00 / $1,047.13	Facility		$194.98	$302.00	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $316.23 / $1,047.13	Facility		$199.53	$316.23	$1,047.13