Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $9,549.93 / $16,595.87	Facility		$741.31	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $1,584.89	Facility		$245.47	$398.11	$1,584.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,621.81	Facility		$398.11	$1,148.15	$1,621.81