Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,548.82	Facility		$724.44	$1,071.52	$1,548.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $645.65 / $1,288.25	Facility		$229.09	$645.65	$1,288.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $645.65 / $1,071.52	Facility		$281.84	$645.65	$1,071.52