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 $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $7,244.36	Facility		$6,918.31	$6,918.31	$7,244.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $9,549.93 / $2,691,534.80	Facility		$6,918.31	$9,549.93	$2,691,534.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $16,982.44	Professional		$79.43	$79.43	$16,982.44