Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $6,606.93 / $16,595.87	Facility		$575.44	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $288.40 / $1,023.29	Facility		$194.98	$288.40	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $741.31	Facility		$208.93	$288.40	$741.31