Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.59 / $10,480.00 / $16,824.34	Facility		$794.59	$10,480.00	$16,824.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.84 / $840.06 / $2,033.72	Facility		$156.84	$840.06	$2,033.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $840.06 / $2,033.72	Facility		$194.08	$840.06	$2,033.72