Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $879.15 / $6,541.00 / $13,413.92	Facility		$879.15	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $498.07 / $2,250.14	Facility		$115.63	$498.07	$2,250.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $115.63 / $498.07 / $2,250.14	Facility		$115.63	$498.07	$2,250.14