Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.00 / $191.60 / $4,500.00	Facility		$146.00	$191.60	$4,500.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $112.03 / $162.34	Facility		$64.13	$112.03	$162.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $8,244.00 / $9,193.00	Facility		$1,800.00	$8,244.00	$9,193.00