Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $681.97 / $3,491.36 / $4,887.89	Facility		$681.97	$3,491.36	$4,887.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $681.97 / $3,491.36 / $4,887.89	Facility		$681.97	$3,491.36	$4,887.89
United Facility/Professional Facility Modifier Low / Median / High Price $6,489.22 / $6,489.22 / $6,489.22	Facility		$6,489.22	$6,489.22	$6,489.22