Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.95 / $7,340.00 / $13,413.92	Facility		$398.95	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.70 / $172.27 / $1,095.77	Facility		$124.70	$172.27	$1,095.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.58 / $213.50 / $1,095.77	Facility		$149.58	$213.50	$1,095.77