Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $6,606.93 / $16,595.87	Facility		$676.08	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,071.52 / $1,548.82	Facility		$177.83	$1,071.52	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $234.42 / $1,513.56	Facility		$177.83	$234.42	$1,513.56