Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,659.59	Facility		$467.74	$467.74	$1,659.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $263.03 / $588.84	Facility		$104.71	$263.03	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $588.84	Facility		$263.03	$416.87	$588.84