Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.00 / $6,541.00 / $13,413.92	Facility		$759.00	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $847.22 / $1,755.39	Facility		$191.02	$847.22	$1,755.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.02 / $847.22 / $1,755.39	Facility		$191.02	$847.22	$1,755.39