Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.22 / $1,071.14 / $1,535.66	Facility		$639.22	$1,071.14	$1,535.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $643.26 / $1,064.20	Facility		$237.75	$643.26	$1,064.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.75 / $643.26 / $1,064.20	Facility		$237.75	$643.26	$1,064.20