Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,607.05 / $10,900.00 / $15,790.99	Facility		$4,607.05	$10,900.00	$15,790.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $921.15 / $4,766.84 / $6,673.58	Facility		$921.15	$4,766.84	$6,673.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $921.15 / $4,766.84 / $6,673.58	Facility		$921.15	$4,766.84	$6,673.58
United Facility/Professional Facility Modifier Low / Median / High Price $14,287.46 / $14,287.46 / $14,287.46	Facility		$14,287.46	$14,287.46	$14,287.46