Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $663.52 / $6,541.00 / $13,413.92	Facility		$663.52	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $279.30 / $1,213.04 / $3,116.81	Facility		$279.30	$1,213.04	$3,116.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $279.30 / $1,213.04 / $3,116.81	Facility		$279.30	$1,213.04	$3,116.81