Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $701.73 / $7,340.00 / $11,709.00	Facility		$701.73	$7,340.00	$11,709.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $561.39 / $785.95	Facility		$103.99	$561.39	$785.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.99 / $561.39 / $785.95	Facility		$103.99	$561.39	$785.95