Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Professional		$3,801.89	$3,801.89	$3,981.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,623.41	Facility		$3,801.89	$3,801.89	$5,623.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,981.07	Professional		$3,801.89	$3,801.89	$3,981.07
Providence Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,370.32	Facility		$3,801.89	$3,801.89	$5,370.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $79.43	Professional		$60.26	$79.43	$79.43