Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,747.00 / $7,920.26 / $20,400.00	Facility		$2,747.00	$7,920.26	$20,400.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,875.00 / $1,875.00 / $1,875.00	Professional		$1,875.00	$1,875.00	$1,875.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $1,968.75 / $4,031.25	Facility		$1,875.00	$1,968.75	$4,031.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $13,910.16 / $17,150.38 / $18,772.80	Professional		$13,910.16	$17,150.38	$18,772.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,875.00 / $2,400.38 / $4,031.25	Facility		$1,875.00	$2,400.38	$4,031.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,446.00 / $10,234.00 / $36,803.00	Facility		$2,446.00	$10,234.00	$36,803.00