Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.27 / $6,541.00 / $13,413.92	Facility		$460.27	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $187.95 / $559.29	Facility		$96.69	$187.95	$559.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.69 / $187.95 / $1,063.93	Facility		$96.69	$187.95	$1,063.93
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00