Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.83 / $6,541.00 / $13,413.92	Facility		$728.83	$6,541.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $293.45 / $850.21	Facility		$151.15	$293.45	$850.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.15 / $293.45 / $1,649.49	Facility		$151.15	$293.45	$1,649.49
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00