Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $316.23 / $1,348.96 / $2,511.89	Professional	AA	$316.23	$1,348.96	$2,511.89
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $549.54 / $1,548.82 / $2,137.96	Professional	AA	$549.54	$1,548.82	$2,137.96
Providence Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Providence Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90