Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $7,079.46 / $14,125.38	Facility		$204.17	$7,079.46	$14,125.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $331.13 / $1,071.52	Facility		$63.10	$331.13	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $229.09 / $977.24	Facility		$67.61	$229.09	$977.24