Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $13,489.63	Facility		$7,943.28	$7,943.28	$13,489.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $13,182.57 / $20,417.38	Facility		$7,943.28	$13,182.57	$20,417.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $20,417.38	Professional		$13,489.63	$13,489.63	$20,417.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,511.89	Facility		$1,174.90	$1,584.89	$2,511.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52