Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.73 / $6,782.00 / $14,552.94	Facility		$641.73	$6,782.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.55 / $466.53 / $1,484.20	Facility		$99.55	$466.53	$1,484.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.55 / $466.53 / $1,484.20	Facility		$99.55	$466.53	$1,484.20