Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $12,022.64 / $16,595.87	Facility		$645.65	$12,022.64	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $346.74 / $1,380.38	Facility		$234.42	$346.74	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,000.00 / $1,412.54	Facility		$346.74	$1,000.00	$1,412.54