Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $12,022.64 / $16,595.87	Facility		$776.25	$12,022.64	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $1,737.80	Facility		$234.42	$457.09	$1,737.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $446.68 / $1,348.96	Facility		$239.88	$446.68	$1,348.96