Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $100.69 / $618.33	Facility		$100.69	$100.69	$618.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.69 / $120.83 / $618.33	Facility		$100.69	$120.83	$618.33
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00