Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Professional		$1,621.81	$1,621.81	$2,137.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,290.87	Facility		$1,621.81	$1,621.81	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $1,621.81 / $3,981.07	Professional		$60.26	$1,621.81	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,981.07	Facility		$1,621.81	$1,621.81	$3,981.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26