Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,616.01 / $2,616.01 / $2,616.01	Professional		$2,616.01	$2,616.01	$2,616.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $4,213.18 / $4,213.18 / $4,213.18	Facility		$4,213.18	$4,213.18	$4,213.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $955.94 / $955.94 / $1,365.63	Professional		$955.94	$955.94	$1,365.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $4,036.42 / $4,036.42 / $4,213.18	Facility		$4,036.42	$4,036.42	$4,213.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $955.94 / $955.94 / $1,365.63	Professional		$955.94	$955.94	$1,365.63
United Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $2,254.92 / $12,903.10	Professional		$130.34	$2,254.92	$12,903.10