Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $10,000.00 / $16,982.44	Facility		$457.09	$10,000.00	$16,982.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $138.04 / $1,023.29	Facility		$128.82	$138.04	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $141.25 / $1,479.11	Facility		$128.82	$141.25	$1,479.11