Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $727.94 / $7,340.00 / $13,413.92	Facility		$727.94	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $202.65 / $772.00 / $1,683.56	Facility		$202.65	$772.00	$1,683.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $242.99 / $849.20 / $1,683.56	Facility		$242.99	$849.20	$1,683.56