Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $9,549.93 / $16,595.87	Facility		$575.44	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $758.58	Facility		$194.98	$288.40	$758.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $758.58	Facility		$229.09	$309.03	$758.58