Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.59 / $5,084.91 / $13,413.92	Facility		$832.59	$5,084.91	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $477.95 / $2,131.00	Facility		$110.14	$477.95	$2,131.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $110.14 / $477.95 / $2,131.00	Facility		$110.14	$477.95	$2,131.00