Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.14 / $10,900.00 / $14,552.94	Facility		$833.14	$10,900.00	$14,552.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $387.02 / $750.21 / $1,072.80	Facility		$387.02	$750.21	$1,072.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $387.02 / $750.21 / $1,072.80	Facility		$387.02	$750.21	$1,072.80