Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.97 / $6,541.00 / $13,413.92	Facility		$520.97	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $319.77 / $1,333.37	Facility		$70.39	$319.77	$1,333.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.39 / $301.14 / $1,333.37	Facility		$70.39	$301.14	$1,333.37