Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $704.90 / $6,541.00 / $13,413.92	Facility		$704.90	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.25 / $307.49 / $1,936.08	Facility		$130.25	$307.49	$1,936.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.07 / $398.21 / $1,936.08	Facility		$160.07	$398.21	$1,936.08