Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $5,888.44 / $14,125.38	Facility		$912.01	$5,888.44	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $489.78 / $1,995.26	Facility		$346.74	$489.78	$1,995.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,380.38 / $2,344.23	Facility		$537.03	$1,380.38	$2,344.23