Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.61 / $436.35 / $581.90	Facility		$369.61	$436.35	$581.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $410.68 / $574.95 / $1,190.97	Facility		$410.68	$574.95	$1,190.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $410.68 / $574.95 / $1,190.97	Facility		$410.68	$574.95	$1,190.97