Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $7,340.00 / $13,413.92	Facility		$1,872.00	$7,340.00	$13,413.92
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.49 / $962.47 / $6,147.73	Facility		$190.49	$962.47	$6,147.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $230.00 / $1,234.61 / $6,147.73	Facility		$230.00	$1,234.61	$6,147.73
United Facility/Professional Facility Modifier Low / Median / High Price $4,665.92 / $4,665.92 / $4,665.92	Facility		$4,665.92	$4,665.92	$4,665.92