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 $623.92 / $3,364.97 / $4,710.96	Facility		$623.92	$3,364.97	$4,710.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.92 / $3,364.97 / $4,710.96	Facility		$623.92	$3,364.97	$4,710.96
United Facility/Professional Facility Modifier Low / Median / High Price $11,831.32 / $11,831.32 / $11,831.32	Facility		$11,831.32	$11,831.32	$11,831.32