Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $6,606.93 / $16,595.87	Facility		$933.25	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $457.09 / $2,041.74	Facility		$281.84	$457.09	$2,041.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $446.68 / $1,621.81	Facility		$281.84	$446.68	$1,621.81