Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $1,023.29 / $1,621.81 / $2,089.30	Professional	AA	$1,023.29	$1,621.81	$2,089.30
Moda Health Facility/Professional Professional Modifier AA Low / Median / High Price $1,023.29 / $1,445.44 / $2,089.30	Professional	AA	$1,023.29	$1,445.44	$2,089.30
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