Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.88 / $419.88 / $419.88	Facility		$419.88	$419.88	$419.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $378.09 / $540.66	Facility		$194.91	$378.09	$540.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.91 / $378.09 / $540.66	Facility		$194.91	$378.09	$540.66