Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.96 / $131.96 / $756.70	Facility		$131.96	$131.96	$756.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.96 / $158.35 / $756.70	Facility		$131.96	$158.35	$756.70
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00