Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,690.56 / $6,541.00 / $13,413.92	Facility		$1,690.56	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $641.58 / $1,035.08	Facility		$193.31	$641.58	$1,035.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.31 / $674.45 / $3,662.83	Facility		$193.31	$674.45	$3,662.83
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00