Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $523.19 / $6,541.00 / $13,413.92	Facility		$523.19	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $211.16 / $489.07	Facility		$84.58	$211.16	$489.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.58 / $211.16 / $1,215.67	Facility		$84.58	$211.16	$1,215.67
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00