Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.21 / $6,541.00 / $13,413.92	Facility		$750.21	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $559.39 / $1,920.16	Facility		$129.66	$559.39	$1,920.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.66 / $559.39 / $1,920.16	Facility		$129.66	$559.39	$1,920.16