Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,500.00 / $4,805.00 / $7,175.00	Facility		$4,500.00	$4,805.00	$7,175.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $696.95 / $976.42 / $1,570.18	Facility		$696.95	$976.42	$1,570.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,700.00 / $15,298.00 / $26,104.00	Facility		$3,700.00	$15,298.00	$26,104.00