Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $10,000.00 / $16,982.44	Facility		$537.03	$10,000.00	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $190.55 / $1,122.02	Facility		$177.83	$190.55	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $194.98 / $1,621.81	Facility		$177.83	$194.98	$1,621.81