Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.06 / $7,340.00 / $13,413.92	Facility		$953.06	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.35 / $788.87 / $2,204.23	Facility		$174.35	$788.87	$2,204.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.76 / $867.76 / $2,204.23	Facility		$202.76	$867.76	$2,204.23