Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $5,888.44 / $14,125.38	Facility		$223.87	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $177.83 / $776.25	Facility		$83.18	$177.83	$776.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $165.96 / $794.33	Facility		$93.33	$165.96	$794.33