Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $5,888.44 / $14,125.38	Facility		$407.38	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $302.00 / $1,000.00	Facility		$154.88	$302.00	$1,000.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $302.00 / $1,047.13	Facility		$165.96	$302.00	$1,047.13