Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $9,549.93 / $16,595.87	Facility		$398.11	$9,549.93	$16,595.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $162.18 / $741.31	Facility		$147.91	$162.18	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $165.96 / $1,047.13	Facility		$147.91	$165.96	$1,047.13