Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $775.27 / $7,340.00 / $13,413.92	Facility		$775.27	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.06 / $333.81 / $2,129.38	Facility		$170.06	$333.81	$2,129.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.53 / $424.55 / $2,129.38	Facility		$204.53	$424.55	$2,129.38