Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.24 / $6,541.00 / $13,413.92	Facility		$465.24	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.52 / $735.77 / $1,030.08	Facility		$178.52	$735.77	$1,030.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $178.52 / $735.77 / $1,030.08	Facility		$178.52	$735.77	$1,030.08