Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21,393.03 / $21,393.03 / $21,393.03	Facility		$21,393.03	$21,393.03	$21,393.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $413.06 / $2,177.40 / $3,048.36	Facility		$413.06	$2,177.40	$3,048.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $413.06 / $1,610.52 / $2,177.40	Facility		$413.06	$1,610.52	$2,177.40