Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $6,606.93 / $16,595.87	Facility		$269.15	$6,606.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $501.19	Facility		$91.20	$95.50	$501.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $97.72 / $707.95	Facility		$91.20	$97.72	$707.95