Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.10 / $6,541.00 / $13,413.92	Facility		$387.10	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $154.11 / $271.87	Facility		$46.77	$154.11	$271.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $154.11 / $899.45	Facility		$46.77	$154.11	$899.45
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00