Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $6,918.31	Professional		$5,128.61	$5,128.61	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,370.32	Facility		$5,128.61	$5,128.61	$5,370.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Providence Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $7,079.46 / $2,691,534.80	Facility		$5,128.61	$7,079.46	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $16,595.87	Professional		$79.43	$79.43	$16,595.87